临床外科杂志 ›› 2020, Vol. 28 ›› Issue (11): 1071-1073.doi: 10.3969/j.issn.1005-6483.2020.11.022

• 论著 • 上一篇    下一篇

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 

  

  1. 湖南长沙,解放军第九二一医院普通外科
  • 出版日期:2020-11-20 发布日期:2020-12-09

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

  • Online:2020-11-20 Published:2020-12-09

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>4.0mm,对照组下肢交通支静脉平均内径<3.3mm,观察组交通支静脉平均返流时间>0.5s,对照组交通支静脉平均返流时间<0.35s。结论:下肢交通支静脉内径>4.0mm时下肢将可能出现静脉性溃疡。

关键词: 静脉性溃疡, 交通支静脉;下肢;静脉功能不全

Abstract: 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.

Key words: venous ulcer, communicating veins, extremities, venous incompetence

[1] 万婷, 周海孝, 朱占永, 余墨声. 蝎肽抗菌凝胶联合外科手术治疗下肢静脉性溃疡的疗效观察[J]. 临床外科杂志, 2019, 27(6): 512-513.
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