[The contribution of Doppler echography in the diagnostic and therapeutic plan in chronic venous insufficiency surgery].

IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Phlebologie Pub Date : 1993-10-01
M Perrin
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引用次数: 0

Abstract

Indications for duplex scan in venous surgery. Vascular surgeons are led to request Duplex Scan examination of patients with chronic venous insufficiency in a number of circumstances: A) To obtain information supporting the diagnosis and treatment plan: Chronic venous insufficiency may be due to isolated superficial venous insufficiency or (and) deep venous insufficiency (post-thrombotic syndrome, primary deep valvular insufficiency, congenital malformation). In practice, Duplex Scan examination of the deep venous system is indicated whenever the patient's history is suggestive of deep venous thrombosis or the clinical status is stage 2 or 3 (Ad Hoc Committee classification). In patients with reflux in the popliteal fossa, Duplex Scan is helpful because physical examination and Doppler cannot correctly differentiate short saphenous insufficiency, gastrocnemius insufficiency and reflux in the popliteal-tibial axis, especially as these physiopathologic mechanisms may be associated. In patients with atypical varices, Duplex Scan can demonstrate: Absence of reflux in the greater saphenous vein-femoral vein termination or the short saphenous vein-popliteal vein termination. Varices in the lateral or posterior thigh. In patients with varicose vein thrombosis, Duplex Scan can reveal: The extent of any association with deep venous system. The extent of superficial venous thrombosis. When the results of varicose vein surgery are unsatisfactory, Duplex Scan can determine whether a redo surgery is justified: Persistence of a major leak between the deep and superficial venous system usually prompts redo surgery. Less often, recurrence is due to primary deep valvular insufficiency, in which case valvuloplasty may be indicated.(ABSTRACT TRUNCATED AT 250 WORDS)

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[多普勒超声在慢性静脉功能不全手术诊断和治疗方案中的贡献]。
静脉外科双重扫描的适应症。在多种情况下,导致血管外科医生要求对慢性静脉功能不全患者进行双工扫描检查:a)获得支持诊断和治疗计划的信息:慢性静脉功能不全可能是由于孤立的浅静脉功能不全或(和)深静脉功能不全(血栓后综合征,原发性深瓣膜功能不全,先天性畸形)。在实践中,只要患者的病史提示深静脉血栓形成或临床状态为2期或3期(Ad Hoc委员会分类),就需要对深静脉系统进行双工扫描检查。对于腘窝反流的患者,双相扫描是有帮助的,因为体格检查和多普勒不能正确区分短隐静脉功能不全、腓肠肌功能不全和腘-胫轴反流,特别是这些生理病理机制可能相关。在不典型静脉曲张患者中,双相扫描可显示:大隐静脉-股静脉末端或短隐静脉-腘静脉末端无反流。大腿外侧或后侧有静脉曲张。在静脉曲张血栓患者中,双工扫描可以显示:任何与深静脉系统相关的程度。浅静脉血栓形成程度。当静脉曲张手术的结果不令人满意时,双工扫描可以确定是否需要重做手术:深静脉系统和浅静脉系统之间持续的大泄漏通常会提示重做手术。较少见的是,复发是由于原发性深瓣膜功能不全,在这种情况下,可能需要瓣膜成形术。(摘要删节250字)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Phlebologie
Phlebologie 医学-外科
CiteScore
1.20
自引率
0.00%
发文量
84
审稿时长
>12 weeks
期刊介绍: Als Forum für die europäische phlebologische Wissenschaft widmet sich die CME-zertifizierte Zeitschrift allen relevanten phlebologischen Themen in Forschung und Praxis: Neue diagnostische Verfahren, präventivmedizinische Fragen sowie therapeutische Maßnahmen werden in Original- und Übersichtsarbeiten diskutiert.
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Antwort zum Leserbrief 3: Nebenwirkungen nach Acrylverklebung von Stammvenen – Bericht aus der Literatur Leserbrief 3 zu: Nebenwirkungen nach Acrylverklebung von Stammvenen – Bericht aus der Literatur Klinische Zeichen der Varikose und chronisch venösen Insuffizienz Endovenöse thermische und nicht thermische Verfahren zur Behandlung der Varikose Klinische Befunde des Ulcus cruris
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