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目的 :总结和分析经皮静脉插管造影在下肢浅静脉曲张诊断中的应用价值。方法 :采用Seldinger穿刺法对 2 5例共 31条下肢进行了静脉造影 ,通过电视X光透视观察静脉显影后造影剂倒流的动态变化和瓣膜功能情况。结果 :31条下肢中 ,诊断为原发性深静脉瓣膜功能不全 2 8条下肢 ,其中重度 12例 ,中度 11条 ,轻度 5条 ;诊断为单纯性下肢浅静脉曲张 3条下肢 ,其深静脉瓣膜功能正常。结论 :经皮静脉插管造影是明确下肢浅静脉曲张病因的较好方法 ,对手术方案的选择具有指导意义。
OBJECTIVE: To summarize and analyze the clinical value of percutaneous transluminal coronary angiography in the diagnosis of superficial varicose veins of lower extremities. Methods: Twenty-five cases of 31 lower extremities were examined by Seldinger puncture. The dynamic changes of contrast medium and valvular function were observed by radiography. Results: Of the 31 lower extremities, 28 cases were diagnosed as deep venous insufficiency, 12 were moderate, 11 were moderate and 5 were mild. Three lower extremities were diagnosed as simple superficial varicose veins Deep vein valves function properly. Conclusion: Percutaneous transluminal coronary angiography is a good method to identify the cause of superficial varicose veins of lower extremities. It is instructive for the selection of surgical plans.