下肢静脉性溃疡术前彩色多普勒定位功能不全的交通支静脉  

Preoperative localization of incompetent perforator veins by color Doppler ultrasonography in venous ulcer of lower extremities

作　　者：刘震[1] 梁勇[1] 赵跃华[2] 

机构地区：[1]徐州市第一人民医院普外科,江苏徐州221002 [2]徐州市第一人民医院超声科

出　　处：《徐州医学院学报》2008年第6期374-376,共3页Acta Academiae Medicinae Xuzhou

基　　金：徐州市科技计划指导项目(XZ200613)

摘　　要：目的评价彩色多普勒超声用于下肢静脉性溃疡术前定位功能不全的交通支静脉的临床价值。方法下肢静脉性溃疡患者59例,63条肢体。41条肢体术前行彩色多普勒超声检查,22条肢体术前行患肢静脉顺行造影,比较2种方法功能不全交通支静脉的检出率。结果彩色多普勒超声和静脉顺行造影对于功能不全的交通支静脉的检出率差异无显著性(97.5%vs.90.9%,P(0.05)。结论彩色多普勒超声具有无创等特点,可以精确定位功能不全的交通支静脉,在临床上适宜作为下肢静脉性溃疡的首选检查。Objective To assess the clinical significance of preoperative localization of incompetent perforator veins by color Doppler ultrasonography in venous ulcer of lower extremities. Methods Of the 63 lower limbs from 59 patients with venous ulcer of lower extremities, 41 limbs underwent color Doppler ultrasonography and 22 limbs underwent venous anterograde visualization, respectively, so as to compare the positive rates of incompetent perforator veins. Results There was no significant difference in the positive rates incompetent perforator veins between the two methods of detection （ 97.5% vs. 90.9% , P 〉 0.05 ）. Conclusion Color Doppler ultrasonography is preferable to other methods for its noninvasiveness, precise localization of incompetent perforator veins and therefore, it should be regarded as the top clinical option in the examination of venous ulcer of lower extremities.

关 键 词：下肢静脉性溃疡 交通支静脉 静脉功能不全 彩色多普勒超声显像 

分 类 号：R543.6[医药卫生—心血管疾病]