Becker F
Unité d'angiologie, CHRU, hôpital du Bocage, Dijon.
Rev Prat. 1994 Mar 15;44(6):733-7.
Investigation of chronic venous insufficiency of the lower limbs can now be done by numerous techniques, which should nevertheless not replace clinical examination and a pragmatic approach. Ultrasound techniques have definitively surpassed phlebography. Doppler examination, due to its excellent cost-effectiveness ratio, is a basic technique for initial investigation. Pulsed echo-doppler, with or without colour coding, is the method of reference in the study of superficial and deep reflux. Phlebography is still indicated before surgery in complex reflux of the popliteal fossa and in rare cases of post-thrombotic syndromes; it remains the most reliable method when deep valvular dysgenesis is suspected. Quantified methods of investigating venous function (ambulatory venous pressure, dynamic volumetry of the foot, air plethysmography, treadmill plethysmography) are useful to analyse complex cases and severe venous insufficiency. Photoplethysmography is a useful complement to doppler examination in assessing reflux in clinical practice.
目前，可通过多种技术对下肢慢性静脉功能不全进行检查，但这些技术不应取代临床检查和务实的方法。超声技术已明确超越静脉造影。多普勒检查因其出色的性价比，是初步检查的基本技术。脉冲回声多普勒检查，无论有无彩色编码，都是研究浅静脉和深静脉反流的参考方法。在腘窝复杂反流以及罕见的血栓后综合征病例中，手术前仍需进行静脉造影；当怀疑存在深静脉瓣膜发育不全时，它仍是最可靠的方法。量化静脉功能的检查方法（动态静脉压、足部动态容积测量、空气体积描记法、跑步机体积描记法）有助于分析复杂病例和严重静脉功能不全。在临床实践中，光电容积描记法是评估反流时对多普勒检查的有益补充。
