摘要
目的探讨股骨中段横径与各段深静脉(股浅静脉各段及静脉)横径的比值,评价深静脉有无扩张、扩张程度及其与临床症状的相关性。方法全组资料依据国际静脉联盟的临床分级标准分成4组,将其各段深静脉造影X光片输入计算机经图像处理软件进行拼接,测量股骨全长并按比例选取4段,分别测量股骨中段横径与选定层面的股浅静脉、静脉横径并计算其比值。结果对照组与病变组的股骨中段横径与股浅静脉上段、中段、下段及静脉横径比值之间存在统计学意义(P<0.01),股骨横径与静脉横径比值在轻度组与中度、重度组间存在统计学意义(P<0.01),中、重度组间无统计学意义(P<0.05)。结论下肢严重皮肤营养性改变及静脉性溃疡的出现与股浅静脉的扩张无明显相关性而与静脉的扩张与倒流存在明显相关性;静脉瓣膜功能的重建对于提高中、重度原发性深静脉瓣膜功能不全患者的临床疗效可能起到十分关键的作用。
Objective To explore the ratio of transverse diameter of femoral midpiece to the diameters of deep veins of different pieces including femoral superfacial pieces and popiteal veins so as to determine whether dilation of deep vein occurs, the extent of dilation and its correlation to clinical symptoms. Methods All data were classified into four groups according to the grading standard of the International Vein Research Association. Phlebography was taken and then processed through cumputer. The femoral length was measured and then four segments were chosen to measure the transverse diameters in midpiece and the transverse diameters of superfacial femoral vein and popiteal vein and then to get the ratios of these diameters. Results There existed significant differences between the contrast group and the lesion group in terms of the ratios of transverse diameter in midpiece to the diameters of lower, upper and middle segment of superficial vein and that of popiteal vein（ P 〈0.01）. No significant difference was found between the lesion groups （ P 〉 0.05）. Significant differences were found between the slight group and the moderate and severe groups in terms of the ratio of femoral transverse diameter to the diameter of popiteal vein （ P 〈 0.01 ）. Conclusion The severe dermatic and nutritional changes and the occurrence of veneal ulcer were not obviously related to the dilation of superfacial femoral vein but obviously related to the dilation of popiteal vein and blood return. The functional reconstruction of popiteal vein plays a vital role in improving the curative effects of primary valve insufficiency of deep veins in low limbs.
出处
《山东医学高等专科学校学报》
2006年第3期173-175,共3页
Journal of Shandong Medical College
