Nazarenko P M, Sukovatykh B S, Belikov L N, Sannikov A B
Vestn Khir Im I I Grek. 1997;156(6):31-3.
An examination of 91 patients with varicosities of the lower extremity veins at different stages of the disease was carried out in order to find out the retrograde blood flow in deep veins of the shin and foot by means of the retrograde popliteal and talocrural phlebography. The investigation performed allowed a conclusion of an important pathogenetical role of the retrograde blood flow in deep veins of the shin and foot in genesis of trophic cutaneous disorders. Endovascular occlusion of the posterior tibial veins after A.N. Vedensky was fulfilled in 32 patients with trophic cutaneous disorders along with a correction of the pathological blood flow along the superficial veins. An analysis of long-term results of the treatment has shown that this kind of operative interventions is an adequate method for correction of the hemodynamic disorders in question at the decompensation stage of the disease.
对91例处于下肢静脉疾病不同阶段的患者进行了检查，目的是通过腘静脉和距小腿静脉逆行静脉造影来查明小腿和足部深静脉的逆流情况。所进行的研究得出结论，小腿和足部深静脉的逆流在营养性皮肤疾病的发生中具有重要的发病机制作用。在32例患有营养性皮肤疾病的患者中，完成了A.N. 韦坚斯基法的胫后静脉血管内闭塞术，并对浅静脉的病理血流进行了纠正。对治疗的长期结果分析表明，这种手术干预是在疾病失代偿阶段纠正上述血液动力学紊乱的一种适当方法。
