摘要
目的探讨大隐静脉高位置管顺行造影的方法及其在下肢静脉曲张性疾病临床诊断中的价值。方法选择125例下肢静脉曲张患者,先后应用传统的顺行造影方法和大隐静脉高位置管顺行造影方法实施深静脉造影。结果125例患者深静脉造影均获得成功,与传统造影方法比较,大隐静脉高位置管造影所需造影剂用量少、应用浓度低、清晰度高。根据下肢深静脉瓣膜功能不全的反流分级标准,0级31例,Ⅰ级69例,Ⅱ级14例,Ⅲ级7例,Ⅳ级4例。结论大隐静脉高位置管造影诊断下肢深静脉瓣膜功能不全是一种安全可靠的新方法,操作简便、创伤小,便于临床推广使用。
Objective To investigate the feasibility and clinic diagnosis value of deep venous phlebogra- phy through proximal great saphenous vein in the lower extremity venous varicosity. Methods In 125 cases with lower extremity venous varicosity, the traditional method of antegrade deep vein phlebography was used firstly, then tire new method with great saphenous vein catheterized to the femoral triangle was used for the antegrade deep vein phlebography again. The different merits and defects were compared between the two methods. Results All venous phlebographies were done successfully. The new method had many advantages over traditional method, especially in the less constrast medium dosage, less constrast medium concentration, more distinctness of image. The image showed 31 cases belonged to grade 0, 69 cases to grade Ⅰ ,14 cases to grade Ⅱ, 7 cases to grade Ⅲ and 4 cases to gradeⅣ according to venous reflux degree. Conclusion It is a new convenient, reliable, mini-trauma and distinct imaging method of deep venous phlebography through proximal great saphenous vein for the lower extremity venous varicosity patients, and is valuable to be used widely.
出处
《中国现代手术学杂志》
2008年第4期273-275,共3页
Chinese Journal of Modern Operative Surgery
