静脉顺行造影在静脉畸形骨肥大综合征的应用 - 放射学实践杂志.pdf

336 200 1 9 16 5 Rad ol Pract ce, Sept 200 1, Vol 16, No . 5 熊伟 王孝英 梁波 戴文 = : 探讨静脉顺行造影在静脉畸形骨肥大综合症( KTS) 的应用价值: 9 例下肢静脉畸形骨肥大综 合症患者行顺性静脉造影检查, 其中有4 例于术后复查顺性静脉造影, 以评价静脉畸形的部位狭窄的范围与程度9 例 患者均行B 超检查: 静脉造影显示本组9 例患者中, 1 例胫腓干静脉狭窄, 1 例胫腓干静脉狭窄并 静脉狭窄, 4 例 静脉狭窄, 1例 静脉狭窄合并股静脉狭窄, 4 例股静脉狭窄4 例行手术治疗的患者, 于术后复查下肢静脉造影, 显示 浅静脉曲张较术前减少, 深静脉通畅度改善: 静脉造影提供了明确的静脉畸形范围, 从而 临床治疗提供可靠的依 据; 并有利于术前术后 比, 以评价疗效 = 静脉畸形骨肥大综合征 静脉造影术 = R682 . 6, R814. 43 = A = 1000- 0313( 2001) 05- 0336- 03 Application of ascending phlebography in the Klippe-l Trenaunay Syndrome XIONG We , WANG X aoy ng , LIANG Bo, et al . De- partment of Rad ology, the Aff l ated X ehe Hosp tal of Tongj Med cal College, Huazhong Un vers ty of Sc ence and T echnology, Wuhan 430022 = Abstract Objectives:To evaluate the value of ascend ng phlebography n the d agnos s of Kl ppel-Trenaunay syndrome ( KTS) . Method:9 pat ents w th KTS underw ent ascend ng phlebography of low er extrem ty, and 4 of them rece ved reexam nat on after surg cal treatment . Follow ng phlebography the locat on of venous malformat on, and the extent and degree of venous stenos s w ere evaluated. All the pat ents w ere also exam ned by ultrasound. Results:Phlebograms of 9 pat ents demonstrated t b of bular venou s stenos s ( n= 1) , steno- s s of t b of bular ve n and popl teal ve n ( n= 1) , narrow ng of popl teal ve n ( n= 4) , narrow ng of f bular ve n and popl teal ve n( n= 1) , narrow ng of femoral ve n ( n= 4) , narrow ng of both popl teal and femoral ve n( n= 1) . Follow ng surg cal treatment of 4 pat ents, phlebo- grams documented the allev at on of var cose superf c al ve n and restored deep ve n, compared to the f nd ngs before surgery. Conclusion: Phlebography can prov de def n te range and degree of the venous abnormal ty, w arrant the c