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目的探讨数字成像结合顺行性下肢静脉造影在下肢静脉疾病诊断上的临床价值及常见误诊原因。方法回顾性分析75例数字成像顺行性下肢静脉造影的影像学所见,将患者分为正常组(14例)和异常组(61例),其中异常组分单纯性瓣膜关闭不全6例,交通静脉瓣膜关闭不全8例,原发性下肢深静脉瓣膜关闭不全19例,继发性下肢深静脉瓣膜关闭不全11例,血栓形成9例,先天性下肢静脉发育异常6例,静脉瘤样或弥漫血管湖2例。结论数字成像结合顺行性下肢静脉造影在下肢静脉疾病诊断上方便、准确,具有独特的临床应用价值。
Objective To investigate the clinical value of digital imaging combined with routine lower extremity venography in the diagnosis of venous diseases of the lower extremities and the causes of common misdiagnosis. Methods We retrospectively analyzed 75 cases of digital imaging of venous angiography of lower extremity. The patients were divided into normal group (n = 14) and abnormal group (n = 61), of which 6 cases had simple valve dysfunction, Venous valve insufficiency in 8 cases, primary deep venous valve insufficiency in 19 cases, secondary deep venous valve insufficiency in 11 cases, thrombosis in 9 cases, congenital venous abnormalities in 6 cases, Diffuse vascular lake in 2 cases. Conclusions Digital imaging combined with the routine lower extremity venography is convenient and accurate in the diagnosis of venous diseases of the lower extremities and has unique clinical value.