山东读者迟先生:我今年76岁,两三年来每到傍晚就双侧小腿肿胀,按之有坑,第二天即好。双侧小腿发热,从踝关节到膝关节,皮肤温度比别处高,不出汗。最近3天走一会儿就感觉腿痛,休息后能缓解,看不到静脉曲张。请问这是什么问题?怎么治?这些症状应是双下肢静脉瓣膜功能不全,导致下肢静脉血液回流不利,出现返流,静脉血液长期瘀积于小腿远端引发的。建议患者到医院做双下肢静脉血管彩超检查,明确下肢静脉血管回流的情况。至于患者走一会儿就腿痛的症状,不清楚患者能走的距离有多远?如果小于1000米,甚至小于500米,那么 Shandong Reader Mr. Chi: I am 76 years old. In the past two or three years, my calf swollen on both sides every evening. Bilateral calf fever, from the ankle to the knee, the skin temperature higher than elsewhere, do not sweat. Walk for a while in the last 3 days to feel leg pain, rest can ease, do not see varicose veins. What is the problem? How to treat? These symptoms should be both lower extremity venous valve insufficiency, resulting in adverse venous return of the lower extremities, reflux, venous blood caused by long-term stasis in the distal leg. It is recommended that patients go to the hospital to do double-venous vascular ultrasound examination of the lower extremities to identify the situation of venous blood vessels in the lower extremities. As for the patient walking for a while on the symptoms of leg pain, do not know how far the patient can walk? If less than 1000 meters, or even less than 500 meters, then