小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 环状静脉扩张（踝部红斑）
- 踝部水肿
- 色素过度沉着
- 脂性硬皮病
- 白色萎缩
- 腿部溃疡
其他诊断因素
- 腿疲劳、疼痛和/或不适
- 沉重腿
- 腿部痉挛
- 毛细血管扩张
- 网状静脉
- 静脉迂曲扩张
- 干燥的和起鳞屑的皮肤
- 皮肤烧灼感和瘙痒
- 单侧性腿部肿胀
危险因素
- 年龄增长
- 家族史
- 吸烟
- 深静脉血栓
- 站立性职业
- 女性
- 肥胖（腰围）
- 韧带松弛
诊断性检查
首要检查
- 多普勒超声
需考虑的检查
- 顺行静脉造影术
- CT静脉造影术
- 磁共振静脉造影术
- 腹部和盆腔 CT
- 血管内超声检查
- 气体容积描记术
治疗流程
所有有症状的患者
撰稿人
作者
Joseph L. Mills Sr, MD
Professor and Chief
Division of Vascular Surgery and Endovascular Therapy
Michael E. DeBakey Department of Surgery
Baylor College of Medicine
Houston
TX
利益声明
JLM declares that he has no competing interests.
David G. Armstrong, DPM, MD, PhD
Professor of Surgery
Director of Southern Arizona Limb Salvage Alliance (SALSA)
Department of Surgery
University of Arizona College of Medicine
Tucson
AZ
利益声明
DGA declares that he has no competing interests.
同行评议者
Raouf A. Khalil, MD, PhD
Division of Vascular Surgery
Brigham and Women's Hospital
Boston
MA
利益声明
RAK has received NIH research funds greater than 6 figures USD. RAK has no other competing interests.
Paul Tisi, MBBS, MS, FRCSEd
Medical Director/Consultant Vascular Surgeon
Bedford Hospital
Bedford
UK
利益声明
PT declares that he has no competing interests.
Mark D. Iafrati, MD
Chief of Vascular Surgery
Tufts Medical Center
Boston
MA
利益声明
MDI is the author of a study referenced in this monograph.
鉴别诊断
- 糖尿病性足部溃疡
- 动脉性溃疡
- 鳞状细胞癌(Marjolin)
更多 鉴别诊断指南
- 静脉腔内机械化学消融术治疗静脉曲张
- 浅表性静脉疾病的临床实践指南（小腿浅表性静脉疾病的治疗）
更多 指南患者教育信息
Dermatitis
Diabetes type 2: should I take insulin?
更多 患者教育信息
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明