静脉成像与超声在下肢静脉曲张术后复发中的诊断价值分析

doi:10.3969/j.issn.1671-7171.2021.06.007

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1667 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To explore the application value of MSCTV combined with ultrasound in the analysis of the causes of recurrence of varicose veins of lower extremity. 【Methods】 From June 2017 to June 2019, 52 patients with postoperative recurrence of varicose veins of lower extremities in our hospital were selected. The clinical data of the patients were retrospectively analyzed, and the influencing factors of postoperative recurrence of varicose veins were analyzed. 【Results】 There was no significant difference in recurrence years between patients undergoing conventional exfoliation, intraoperative thermal ablation and foam sclerotherapy (P>0.05). Compared with venography, MSCTV had a higher detection rate of iliac vein compression (IVCS) and could identify the cause of compression. IVCS (18/54) was the primary cause of postoperative recurrence of varicose veins of lower extremities. BMI was negatively correlated with the recurrence time of varicose veins (P<0.05). The recurrence years of patients with family history of varicose veins, obesity and without pressure treatment were higher than those without family history of varicose veins, obesity and pressure treatment (P<0.05). The recurrence years of IVCS and RVR patients were higher than those of non IVCS and RVR patients (P<0.05). 【Conclusion】The combined application of MSCTV and color Doppler ultrasound can accurately diagnose the causes of postoperative recurrence of varicose veins of lower extremities.

Key words： Varicose Veins/SU Recurrence Varicose Veins/DI Lower Extremity Ultrasonography

Received: 04 August 2020

PACS:

R543.6

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.06.007 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I6/827

[1] RASMUSSEN L H, BJOERN L, LAWAETZ M, et al.Randomised clinical trial comparing endovenous laser ablation with stripping of the great saphenous vein:clinical outcome and recurrence after 2 years[J].Eur J Vasc Endovasc Surg,2010,39(5):630-635.
[2] O'DONNELL T F, BALK E M, DERMODY M, et al.Recurrence of varicose veins after endovenous ablation of the great saphenous vein in randomized trials[J].J Vasc Surg Venous Lymphat Disord,2016,4(1):97-105.
[3] EKLOF B, RUTHERFORD R B, BERGAN J J, et al.Revision of the CEAP classification for chronic venous disorders:consensus statement[J].J Vasc Surg,2004,40(6):1248-1252.
[4] GLOVICZKI P, COMEROTA A J, DALSING M C, et al.The care of patients with varicose veins and associated chronic venous diseases:clinical practice guidelines of the society for vascular surgery and the american venous forum[J].J Vasc Surg,2011,53(5 Suppl):2S-48S.
[5] 常光其.慢性下肢静脉疾病诊断与治疗中国专家共识[J].中国血管外科杂志(电子版),2014(3):143-151.
[6] PERRIN M R, LABROPOULOS N, LEON L R.Presentation of the patient with recurrent varices after surgery (REVAS)[J].J Vasc Surg,2006,43(2):327-334.
[7] LIU P, PENG J L, ZHENG L H, et al.Application of computed tomography venography in the diagnosis and severity assessment of iliac vein compression syndrome:A retrospective study[J].Medicine,2018,97(34):e12002.
[8] KATELYN N B,RAHUL A S,ALI K,et al.Iliac vein compression syndrome:clinical,imaging and pathologic findings[J].World Radiol,2015, 7(11):375-381.
[9] MOUDGILL N,HAGER E, GONSALVES C, et al.May-Thurner syndrome:case report and review of the literature involving modern endovascular therapy[J].Vascular,2009,17(6):330-335.
[10] ALICE M,WHITELEY D C,TAYLOR B S,et al.Pelvic venous reflux is a major contributory cause of recurrent varicose veins in more than a quarter of women[J].J Vasc Surgery,2014,2(4):411-415.
[11] MENESES L, FAVA M, DIAZ P, et al.Embolization of incompetent pelvic veins for the treatment of recurrent varicose veins in lower limbs and pelvic congestion syndrome[J].Cardiovasc Intervent Radiol,2013,36(1):128-132.
[12] PICQUET J, COIFFARD C, PECHARD M, et al.Anatomical basis of an original pedal approach to the great saphenous vein for surgery[J].Surg Radiol Anat,2006, 28(2):176-179.
[13] GOHEL M S, BARWELL J R, TAYLOR M, et al.Long-term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR):randomized controlled trial[J].BMJ,2007,335(7610):83-87.
[14] MILLER C, MCGUINESS W, WILSON S, et al.Venous leg ulcer healing with electric stimulation therapy:a pilot randomised controlled trial[J].J Wound Care,2017, 26(3):88-98.
[15] KOSTAS T, IOANNOU C V, TOULOUPAKIS E, et al.Recurrent varicose veins after surgery:a new appraisal of a common and complex problem in vascular surgery[J].Eur J Vasc Endovasc Surg,2004,27(3):275-282.