Zontsich T, Turetschek K, Baldt M
Universitätsklinik für Radiodiagnostik Wien, Abteilung für konservative Fächer.
Radiologe. 1998 Jul;38(7):554-9. doi: 10.1007/s001170050392.
Venous varicose are one of the most common diseases in industrial countries today. New surgical strategies, tailored to a patient's specific pattern of venous incompetence require more detailed preoperative imaging.
In this review of current literature we analyzed the value of ascending venography, color coded duplex sonography and descending venography for preoperative planning of varicose surgery. On the other hand, we describe variant anatomy of the superficial venous system like the different levels of escape points and perforating veins.
Ascending venography and color coded duplex sonography are both excellent modalities for detection of reflux in the saphenofemoral and saphenopopliteal junction. The results of current literature indicate, that ascending venography is superior to color coded duplex sonography in the detection of incompetent perforators.
Ascending venography and color coded duplex sonography provide improved information, that may be crucial for surgical planning. The high heterogeneity and broad distribution of valvular incompetence confirms the importance of detailed preoperative imaging.
静脉静脉曲张是当今工业化国家最常见的疾病之一。针对患者特定静脉功能不全模式的新手术策略需要更详细的术前成像。
在本次对当前文献的综述中，我们分析了上行静脉造影、彩色编码双功超声和下行静脉造影在静脉曲张手术术前规划中的价值。另一方面，我们描述了浅静脉系统的变异解剖结构，如不同水平的逃逸点和穿通静脉。
上行静脉造影和彩色编码双功超声都是检测大隐静脉股静脉和大隐静脉腘静脉交界处反流的优秀方法。当前文献结果表明，上行静脉造影在检测功能不全的穿通静脉方面优于彩色编码双功超声。
上行静脉造影和彩色编码双功超声提供了改进的信息，这可能对手术规划至关重要。瓣膜功能不全的高度异质性和广泛分布证实了详细术前成像的重要性。
