Al-Salman M M
Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Int Angiol. 1998 Jun;17(2):108-12.
The purpose of this study was to identify the anatomical location of the venous disease in C.V.I. patients presented with venous ulcers in addition to discussing the management.
Retrospective study, at King Khalid University Hospital.
Between January 1991 to January 1997, 90 patients (63 females, 27 males) with CVI were evaluated. The evaluation included history, clinical examination, bidirectional ultrasound continuous wave Doppler, Duplex, ambulatory venous pressure (AVP), ascending and descending venography.
Forty eight (48) patients (57 limbs) had Stage III with venous ulcers. Out of these 48 patients, fifteen (15) showed deep venous system involvement with deep vein thrombosis (DVT). Thirty three (33) patients had venous reflux in the superficial or deep systems without occlusion. Out of these 33 patients, 24 patients had superficial system reflux, while the remaining 9 patients revealed deep system reflux with a competent superficial system.
Superficial venous incompetence plays a major role in venous ulcer formation and that location and type of venous disease should be thoroughly investigated as surgical excision of the superficial system leads to a long standing recurrence free period.
本研究的目的是确定患有静脉溃疡的慢性静脉功能不全（CVI）患者静脉疾病的解剖位置，并讨论其治疗方法。
在哈立德国王大学医院进行的回顾性研究。
1991年1月至1997年1月期间，对90例CVI患者（63例女性，27例男性）进行了评估。评估内容包括病史、临床检查、双向超声连续波多普勒、双功超声、动态静脉压（AVP）、上下肢静脉造影。
48例（57条肢体）患者处于伴有静脉溃疡的III期。在这48例患者中，15例显示深静脉系统受累并伴有深静脉血栓形成（DVT）。33例患者在浅静脉或深静脉系统存在静脉反流但无阻塞。在这33例患者中，24例有浅静脉系统反流，其余9例显示深静脉系统反流且浅静脉系统功能正常。
浅静脉功能不全在静脉溃疡形成中起主要作用，应彻底调查静脉疾病的位置和类型，因为浅静脉系统的手术切除可带来长期无复发期。
