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本文对42的60条患有下肢静脉曲长的肢体行深静脉造影(逆行造影60条肢体,占100%,同时做顺行造影24条肢体,占40%)。表现下肢浅静脉纡曲怒张,深静脉扩张呈筒状,18条股-静脉受血柱重力影响而弯曲变形,但全程通畅,无充盈缺损及轮廓不规整,股静脉瓣膜影清晰可见,两瓣叶间距有不同程度的增宽,7条肢体的股浅静脉最高-对瓣膜不对称,60条肢体均存在造影剂逆流,按Kistner分类法,Ⅱ级5条,Ⅲ级24条,Ⅳ级31条。本文还重点讨论了原发性下肢深静脉瓣膜功能不全的临床特征,造影检查技术和治疗方法问题。
In this paper, 42 of 60 limbs with varicose veins of deep venous angiography (retrograde 60 limbs, accounting for 100%, while making 24 cases of simultaneous imaging, accounting for 40%). The performance of the lower extremity superficial vein plexus engorgement, deep vena cava was tubular, 18 strands - vein affected by the gravity of the blood column bending deformation, but the entire process, without filling defects and irregular contours, femoral vein valve shadow clearly visible, two The width of valve leaflets was widened to different extents, and the superficial femoral veins in 7 limbs were the highest. Asymmetric valvular arteries were present in all 60 limbs. According to the Kistner classification, there were 5 grade Ⅱ, 24 grade Ⅲ and Ⅳ 31 articles. This article also focuses on the clinical features of primary deep venous valve insufficiency, angiography and treatment methods.