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[Echography and sclerotherapy--ambulatory phlebectomy, 2 complementary techniques]. [超声和硬化治疗-门诊静脉切除术,2项补充技术]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
D B Calés Gracia

Echo-sclerosis and phlebectomy are complementary. Thanks to them, it is possible to treat a post-surgical saphenous branch in a single session. Echo-sclerosis deals with the origin of the varicose vein, which is often deep in the panniculus adiposus, predilection area of this technique. Phlebectomy concerns the visible varicose segment. Complete erradication is achieved. Thanks to this complementary technique it is possible to gain a long-lasting result. Echo-sclerosis has treated the varicose vein upstream and phlebectomy downstream.

回声硬化和静脉切除术是互补的。多亏了他们,可以在一次手术中治疗术后隐静脉分支。回声硬化处理静脉曲张的起源,通常在脂肪环深处,这是该技术的首选区域。静脉切除术涉及可见的静脉曲张段。完全根除。由于这种补充技术,它有可能获得持久的效果。回声硬化治疗了上游静脉曲张,下游静脉切除术。
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引用次数: 0
[Echographic sclerotherapy of the great saphenous vein]. [大隐静脉的超声硬化治疗]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
M Schadeck

The writer invites us to compare the results obtained with echo-guided sclerotherapy with those obtained with "simple" sclerotherapy, the interest of which had already been shown. This study seems to be significative because an amount of 10% of positive results has been noticed. However it is only an intermediary study for the average treatment is only 18 months long. The careful supervision of the evolution of the sclerosed axis is also useful in the understanding of the importance of prescribing a complete and rigorous treatment whose aim is to increase the efficiency of the sclerosis of remaining varicose veins considerably as well as its quality and safety, on the cosmetic field.

作者邀请我们比较回声引导硬化治疗与“简单”硬化治疗的结果,这已经表明了其兴趣。这项研究似乎是有意义的,因为已经注意到10%的积极结果。然而,这只是一项中间研究,因为平均治疗时间只有18个月。在化妆品领域,对硬化轴的演变进行仔细的监督也有助于理解处方完整和严格治疗的重要性,其目的是大大提高剩余静脉曲张硬化的效率以及其质量和安全性。
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引用次数: 0
[Effects of compression stockings on cutaneous microcirculation]. 压缩袜对皮肤微循环的影响。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
A A Own, J H Scurr, P D Coleridge-Smith
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引用次数: 0
[Complications of superficial venous surgery: nerve lesions in the leg and the popliteal fossa]. 浅静脉手术的并发症:腿部及腘窝神经病变。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
D Negus
{"title":"[Complications of superficial venous surgery: nerve lesions in the leg and the popliteal fossa].","authors":"D Negus","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 4","pages":"601-2"},"PeriodicalIF":0.3,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19108111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Medico-legal consequences of complications of superficial venous surgery of the legs]. [下肢浅静脉手术并发症的法医学后果]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
J Natali

67 cases of complications of superficial venous surgery of the lower limbs were reported. They consist in the following troubles: 23 arterious injuries, 10 venous injuries, 28 nervous injuries, 4 instrument forgettings, at last, 2 anaesthesia incidents. All these injuries lead to: 4 deaths, 9 amputations, and in 75% of cases, important functional after-effects. One has to insist on the necessity of per-surgical vigilance with the immediate therapy of injuries that have been observed. It is also necessary to look carefully after the patient during the surgery. The disrespect of these precautions is often followed by the most important complications we had to face.

报告下肢浅静脉手术并发症67例。其中动脉损伤23例,静脉损伤10例,神经损伤28例,器械遗忘4例,麻醉事故2例。所有这些伤害导致:4人死亡,9人截肢,在75%的病例中,有重要的功能后遗症。人们必须坚持手术前警惕的必要性,并立即治疗已观察到的损伤。在手术过程中仔细照顾病人也是必要的。对这些预防措施的不尊重往往会导致我们不得不面对的最严重的并发症。
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引用次数: 0
[Superficial venous thromboses of the legs]. [腿部浅静脉血栓形成]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
M T Barrellier

The study concerned 106 superficial venous thrombosis (SVT) diagnosed thanks to an echo-Doppler, between october 1989 and february 1993 in 42 men and 63 women aged 59 +/- 18 years and 64 +/- 18 years respectively. In nearly half cases, clinical sign was a suspicion of a deep venous thrombosis (DVT) (34 cases) or a pulmonary embolism (PE) (14 cases). A supposed precipitating factor was found in 65 cases out of 105: a cancer already known in 11 cases. The SVT was located in the left lower limb in 56 cases, in the right lower limb in 41 cases and a bilateral one in 9 cases. The long saphenous vein was affected in 60 cases, the short saphenous vein in 22 cases, both saphenous veins in 6 cases and a non-collateral saphenous vein in 17 cases. In 38 cases, a DVT added to a SVT, either separately in 19 cases, 9 of which in controlateral or by proximity extension from an arch in 7 cases or from a more distal perforating vein in 8 cases. In total, complications, either DVT or SVT, appeared in 46 cases out of 105. The age of > or = 60 has been associated with the presence of complications. In 3 cases, a cancer was discovered in the month following the SVT. These results question the benignancy of SVT. They match those of two series of SVT diagnosed thanks to echo-Doppler and recently reported. They urge to explore systematically both venous networks, superficial and deep and to achieve an etiologic balance either for SVT or unexplained DVT.

本研究涉及1989年10月至1993年2月间,42名男性和63名女性,年龄分别为59 +/- 18岁和64 +/- 18岁,通过超声多普勒诊断的106例浅静脉血栓(SVT)。近半数病例的临床体征为疑似深静脉血栓形成(DVT)(34例)或肺栓塞(PE)(14例)。在105例病例中,有65例发现了所谓的诱发因素:其中11例是已知的癌症。SVT位于左下肢56例,右下肢41例,双侧9例。长隐静脉受累60例,短隐静脉受累22例,双隐静脉受累6例,非侧隐静脉受累17例。38例中,DVT增加到SVT,分别有19例,其中9例为控制性或近距离延伸,7例为弓形静脉延伸,8例为远端穿孔静脉延伸。105例患者中有46例出现深静脉血栓或上室血栓并发症。>或= 60岁与并发症的出现有关。其中3例是在上腔静脉移植后的一个月内发现癌症的。这些结果质疑SVT的良性。它们与最近报道的超声多普勒诊断的两组SVT相匹配。他们强烈要求系统地探索浅静脉和深静脉网络,以达到SVT或不明原因DVT的病因平衡。
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引用次数: 0
[The contribution of Doppler echography in the diagnostic and therapeutic plan in chronic venous insufficiency surgery]. [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]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
M Perrin

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)

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)
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引用次数: 0
[Lymphatic complications from variceal surgery]. [静脉曲张手术的淋巴并发症]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
P A Ouvry, H Guenneguez, P A Ouvry

Introduction: Lymphatic injuries are unavoidable during varicose vein surgery. However these injuries seldom lead to complications. This study was held to try to find an explanation to this contradiction which seems to be only noticeable.

Material and method: If anatomy shows that it is impossible to operate on varicose veins without injuring lymphatic vessels, the regeneration power of these latters, known for a long time, is such that complications due to these injuries are all the more exceptional that surgeries are less traumatizing than it used to be. Nowadays, each surgeon is only faced to a small number of such complications during their career. This rareness makes a methodical personal study quasi-impossible. That is why we sent a questionnaire to about thirty surgeons specialized in this field. This questionnaire, about their experience, dealt with lymphatic complications they had met during varicose veins surgery.

Results: Twenty three answers were sent in time and deal with more than 184,000 surgeries. The lymphatic complication rate is about 8.7%, 5.4% of which are lymphorrhea, 2.6% of lymphocele, 1.09% of lymphangitis and 0.5% of lymphoedema. Of course, these figures are approximate. Lymphoedema is the only long-lasting lymphatic complication of the varicose veins surgery.

Conclusions: According to us, sclerotherapy seems to be more effective than surgery, in case of signs, even benign, of lymphatic insufficiency.

简介:在静脉曲张手术中,淋巴损伤是不可避免的。然而,这些损伤很少导致并发症。这项研究的目的是试图对这一看似显而易见的矛盾找到一个解释。材料和方法:如果解剖学表明不损伤淋巴管是不可能对静脉曲张进行手术的,那么这些淋巴管的再生能力,众所周知,是这样的,由于这些损伤引起的并发症更加罕见,手术的创伤性比以前要小。如今,每个外科医生在其职业生涯中只会遇到很少的此类并发症。这种稀缺性使得有条不紊的个人研究几乎是不可能的。这就是为什么我们向大约30名该领域的外科医生发送了一份调查问卷。这份问卷是关于他们在静脉曲张手术中遇到的淋巴并发症。结果:及时回复23份,处理手术18.4万余例。淋巴并发症发生率约为8.7%,其中淋巴漏5.4%,淋巴囊肿2.6%,淋巴管炎1.09%,淋巴水肿0.5%。当然,这些数字是近似值。淋巴水肿是静脉曲张术后唯一的长期淋巴并发症。结论:根据我们的研究,在淋巴功能不全的情况下,即使是良性的,硬化疗法似乎比手术更有效。
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引用次数: 0
[Sexual complications from superficial venous surgery]. 浅静脉手术引起的性并发症。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
J P Henriet

Post-surgical erectile dysfunctions of superficial veins of the lower limbs are seldom reported. It seems to be due to the fact that they are ignored. In most cases, one has to find their origins in an abnormality of arterious distribution towards sexual parts: one or several of these latters come from common femoral veins and their colaterals (the external pudendal arteries) and not from hypogastrics (and internal sexual arteries). Therefore, it is necessary to take care of external sexual arteries during Scarpa's dissections in male patients in order to avoid the possible occurrence of a partial secondary or total impotency.

下肢浅静脉术后勃起功能障碍的报道很少。这似乎是因为他们被忽视了。在大多数情况下,我们必须发现它们的起源是朝向性器官的动脉分布异常:这些动脉中的一个或几个来自股总静脉及其分支(阴部外动脉),而不是来自胃下动脉(和性器官内动脉)。因此,在男性患者进行斯卡帕氏剥离术时,有必要注意性外动脉,以避免可能发生的部分继发性或完全性阳痿。
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引用次数: 0
[Venous Doppler color echography: importance and inconveniences]. 静脉多普勒彩色超声:重要性和不便之处。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
J P Laroche, M Dauzat, G Muller, C Janbon

Color Doppler is a technique which performs a real-time opacification of the vascular system with blue indicating reverse flow and red indicating forward flow (directional color coding). In venous pathology, the use of color Doppler improves significantly the anatomical evaluation of the inferior vena cava, the iliac vein, the deep femoral vein, and the sural system. Color Doppler facilitates the study of deep venous thrombosis (providing useful information to differentiate ancient from most recent thrombus) and also the study of post-thrombotic conditions (assessment of reverse flow, repermeation phenomena). Finally, color Doppler produces a better insight for the study of varicose veins, especially with regard to mapping, identification of communicante veins, and study of the external saphenous vein.

彩色多普勒是一种对血管系统进行实时混浊的技术,蓝色表示反向流动,红色表示正向流动(方向颜色编码)。在静脉病理学中,彩色多普勒的使用显著提高了对下腔静脉、髂静脉、股深静脉和腓肠系统的解剖评价。彩色多普勒有助于研究深静脉血栓形成(提供有用的信息,以区分古老的和最新的血栓),也有助于研究血栓形成后的状况(评估回流,再渗透现象)。最后,彩色多普勒可以更好地了解静脉曲张的研究,特别是在绘制、识别交流静脉和研究外隐静脉方面。
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引用次数: 0
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Phlebologie
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