Color Doppler Ultrasound of Lower Extremity Varicose Veins: A Simple Grading of Sapheno-Femoral Junction Reflux
Journal of the Korean Society of Medical Ultrasound
;
: 251-256, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-725414
ABSTRACT
PURPOSE:
To establish a simple grading method for the severity of an incompetent sapheno-femoral junction (SFJ) using color Doppler ultrasound in patients with lower extremity varicose veins. MATERIALS ANDMETHODS:
346 legs of 241 consecutive patients with varicose veins were examined (MF = 96145, 11-74 years, mean 50 years). The severity of SFJ and sapheno-popliteal (SPJ) incompetence was graded from I to IV according to the patient's position (standing versus supine or prone) and whether the Valsalva's maneuver had been induced. The extent of varicose veins was graded as I to III by the US findings in the SFJ incompetence group. The grading of SFJ incompetence was compared to the extent of varicose vein.RESULTS:
SFJ, SPJ, both SFJ and SPJ, and perforator incompetence was observed in 198 (57.2%), 81 (23.4%), 21 (6.1%) and 54 (15.6%), respectively. Among the SFJ incompetence group, severity grade I - IV were observed in 14 (7.1%), 75 (37.9%), 73 (36.9%), and 36 (18.2%), respectively, and the extent grade I - III were noted in 47 (23.7%), 95 (48.0%), and 56 (28.3%), respectively. The SFJ incompetence grade and varicose extent grade showed a positive correlation (p < 0.0001).CONCLUSION:
Simple sonographic grading of the severity of SFJ incompetence is possible. The extent of varicose veins in the SFJ incompetence group can be determined using this new grading system.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Varizes
/
Manobra de Valsalva
/
Ultrassonografia Doppler em Cores
/
Extremidade Inferior
/
Perna (Membro)
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of the Korean Society of Medical Ultrasound
Ano de publicação:
2011
Tipo de documento:
Artigo
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