应用彩超检查探讨下肢浅静脉曲张与深静脉病变的相关性  

Using color Doppler ultrasound to investigate therelationship between superficial varicose veins of lowerextremities and deep vein diseases

作　　者：殷艳林 左军 YIN Yanlin;ZUO Jun(Guanyun County Hospital of Traditional Chinese Medicine,Lianyungang,Jiangsu,222200,China)

机构地区：[1]灌云县中医院,江苏连云港222200

出　　处：《当代医学》2021年第10期78-81,共4页Contemporary Medicine

摘　　要：目的探讨彩超检查下肢浅静脉曲张与深静脉病变的相关性。方法选取2018年1月至2020年1月本院收治的大隐静脉曲张患者90例(患肢130条)作为观察组,另选同期健康体检者90名作为对照组,所有纳入对象均进行下肢深静脉血流状况检测,观察和测量患者管腔形态、管腔内径、管腔内血流充盈状况、管壁内径、管壁回声及瓣膜厚度,有无血栓形成,观察彩色血流及频谱多普勒显像情况。分析下肢浅静脉曲张与深静脉病变的相关性。结果两组患者股总静脉、股浅静脉内径比较差异无统计学意义;观察组患者大隐静脉、小隐静脉内径均明显高于对照组,差异有统计学意义(P<0.05);彩超检查发现130条患肢中深静脉完全正常79条(60.77%),原发性深静脉瓣功能不全30例(23.08%),深静脉血栓后遗症4条(3.08%),合并深静脉与动脉瘘2例(1.54%);90例(患肢130条)均检测到不同部位、不同程度的静脉反流,其中股浅静脉瓣反流速度相较于隐一股静脉瓣、胭浅静脉瓣、小腿交通静脉瓣的反流速度明显更快,差异均有统计学意义(P<0.05);Speaman相关性分析显示,深静脉流速与大隐静脉内径呈正相关,差异有统计学意义(r=0.185,P<0.05)。结论彩色多普勒超声可迅速、直观、准确对大隐静脉曲张患者的下肢深静脉血流状况及瓣膜功能,下肢浅静脉曲张与深静脉病变具有相关性,下肢浅静脉曲张患者病变性质的检测、手术方案的选择、治疗效果的评估均具有一定的参考价值,值得临床推广应用。Objective To investigate the correlation between color Doppler ultrasound examination of superficial varicose veins and deep vein disease.Methods 90 cases patients with varicose great saphenous vein(130 affected limbs)admitted to our hospital from January 2018 to January 2020 were selected as the observation group,and 90 healthy women who had physical examination during the same period were selected as the control group.All were tested for the blood flow of the deep veins of the lower extremities.The shape of the lumen,the inner diameter of the lumen,the filling of the blood flow in the lumen,the inner diameter of the tube wall,the echo of the tube wall and the thickness of the valve were observed and measured,and whether there was thrombosis,and the color blood flow and spectral Doppler imaging.Analyze the correlation between varicose veins of the lower extremities and deep vein disease.Results The internal meridians of the common femoral vein and superficial femoral vein were not statistically significant between the two groups of patients;the inner diameters of the great saphenous vein and small saphenous vein of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05);color doppler ultrasound showed that 79(60.77%)of 130 affected limbs had normal deep veins,30(23.08%)had primary deep venous insufficiency,4(3.08%)had sequelae of deep venous thrombosis,and 2(1.54%)had deep venous and arterial fistula;90 cases(130 affected limbs)were detected with different parts and varying degrees of venous regurgitation,including superficial femoral venous regurgitation compared with the saphenous femoral venous valve,superficial carminal venous valve,and calf communicating venous valve,the regurgitation velocity was significantly faster,and the difference was statistically significant(P<0.05);speaman correlation analysis shows that the deep vein flow rate is the inner diameter of the saphenous vein was positively correlated,and the difference was

关 键 词：彩色多普勒超声 大隐静脉曲张 下肢深静脉 

分 类 号：R543.6[医药卫生—心血管疾病]