小腿交通支静脉内径大小与下肢慢性静脉性溃疡的关系探讨  

Discuss the correlation between the diameter size of communicating vein and chronic ulcer of lower extremities

作　　者：许玉春 李介秋 李轶辉 XU Yuchun;LI Jieqiu;LI Yihui(Department of General Surgery,the 921 Hospital of Chinese PLA,Hunan,Changsha 430001,China)

机构地区：[1]解放军第九二一医院普通外科,湖南长沙430001

出　　处：《临床外科杂志》2020年第11期1071-1073,共3页Journal of Clinical Surgery

摘　　要：目的探讨下肢交通支静脉内径大小与下肢静脉性溃疡的相关性。方法回顾性分析我院2016年1月~2020年1月收治的60例单条下肢静脉性溃疡病人,列为观察组,将门诊体检无下肢静脉性溃疡的60例体检者列为对照组,两组病人均行下肢静脉彩超检查,分别测量各组交通支静脉内径大小。结果观察组下肢交通支静脉平均内径>4.0mm,对照组下肢交通支静脉平均内径<3.3mm,观察组交通支静脉平均返流时间>0.5s,对照组交通支静脉平均返流时间<0.35s。结论下肢交通支静脉内径>4.0mm时下肢将可能出现静脉性溃疡。Objective To investigate the correlation between the diameter size of communicating vein and chronic ulcer of lower extremities.Methods Retrospectively analyse the datas of 60 cases with venous ulcers of lower extremities which were received and cured in authors,hospital from Jan.2016 to Jan.2020.Put them into observation group.The other 60 cases with physical examination at outpatient department are put into control group.All the patients in two groups have a color Doppler ultrasonography examination in the veins of lower extremity.The diameter sizes of communicating veins in two group were measured and recorded.Result The average reflus time of communicating vein in the observation group is more than 0.5 second.The average reflus time of communicating vein in the matched group is less than 0.35 second.The mean diameter size of communicating vein in observation group is morn than 4 millimeters.The mean diameter size of communicating vein in matched group is less than 3.3 mm.Conclusion When the diameter communicating vein size is more than 4 mm,Chronic ulcer will be found in the lower extremities.

关 键 词：静脉性溃疡 交通支静脉 下肢 静脉功能不全 

分 类 号：R632.1[医药卫生—外科学] R543.6[医药卫生—临床医学]