De Maeseneer M G, De Hert S G, Van Schils P E, Vanmaele R G, Eyskens E J
Department of Vascular Surgery, University Hospital Antwerp, Edegem, Belgium.
Cardiovasc Surg. 1993 Dec;1(6):680-3; discussion 684-5.
Undetected anatomical variations of the short saphenous vein (SSV) are a major contributing factor to recurrent varicose veins in the SSV area. Preoperative venography and varicography of the SSV have been proposed as a means of exact localization of its termination. The present study evaluated whether colour-coded duplex (CCD) examination constituted a reliable alternative for localization of the saphenopopliteal (SP) junction. Between 1989 and 1990, 12 patients were reoperated on after previous classical ligation of the SSV. Preoperative CCD examination revealed an abnormally high SP junction with persistent reflux in 11 patients and a Giacomini vein in one patient. When comparing these results with venographic and operative findings an accuracy of 100% was reached in these specific cases. It is concluded that for patients with recurrent varicosis of the SSV preoperative CCD examination provides a reliable non-invasive alternative for venography in the exact localization of the SP junction.
未被检测到的小隐静脉（SSV）解剖变异是导致SSV区域复发性静脉曲张的主要因素。术前对SSV进行静脉造影和曲张静脉造影已被提议作为精确确定其终止位置的一种方法。本研究评估了彩色编码双功超声（CCD）检查是否构成定位隐腘静脉（SP）交界处的可靠替代方法。1989年至1990年间，12例患者在先前经典结扎SSV后接受了再次手术。术前CCD检查显示11例患者的SP交界处异常高位且存在持续性反流，1例患者存在 Giacomini 静脉。将这些结果与静脉造影和手术结果进行比较时，在这些特定病例中准确率达到了100%。结论是，对于SSV复发性静脉曲张患者，术前CCD检查为静脉造影在精确定位SP交界处方面提供了一种可靠的非侵入性替代方法。
