小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 静脉迂曲扩张
其他诊断因素
- 久站后腿部乏力和瘙痒
- 腿部痉挛
- 不宁腿
- 含铁血黄素沉着
- 环状静脉扩张
- 瘙痒
- 脂性硬皮病
- 踝部水肿
- 溃疡
- 静脉曲张性出血
危险因素
- 年龄增长
- 家族史
- 女性
- 分娩次数增加
- 深静脉血栓
- 需长期站立的职业
- 肥胖
诊断性检查
首要检查
- 双功超声
治疗流程
症状性浅静脉功能不全，无外周血管疾病或浅表轴向主干静脉功能不全的证据：仅静脉属支功能不全
症状性浅静脉功能不全，无外周血管疾病或浅属支静脉功能不全的证据：仅主干轴向静脉功能不全
症状性浅静脉功能不全，无外周血管疾病证据：主干轴向静脉和属支静脉功能不全
症状性浅静脉功能不全，无外周血管疾病证据：位于已愈合或活动性静脉溃疡附近伴反流的穿通支静脉
深静脉功能不全，无浅表主干静脉功能不全但伴有浅属支静脉功能不全
伴有浅主干静脉功能不全的深静脉功能不全
无浅静脉功能不全的深静脉功能不全
深静脉阻塞
撰稿人
作者
Alun H Davies, MA, DM, DSc, FRCS, FHEA, FEBVS, FACPh
Professor of Vascular Surgery and Honorary Consultant Vascular Surgeon
Department of Surgery and Cancer
Imperial College London
Imperial Vascular Unit
Imperial College Healthcare NHS Trust
London
UK
利益声明
AHD declares that he has no competing interests.
Tristan RA Lane, MBBS, BSc, PhD, FRCS
Consultant Vascular Surgeon
Cambridge Vascular Unit
Addenbrooke's Hospital
Cambridge University Hospital Trust
Cambridge
Honorary Senior Clinical Lecturer, Section of Vascular Surgery
Department of Surgery and Cancer
Imperial College London
UK
利益声明
TRAL declares that he has no competing interests.
鸣谢
Professor Alun Davies and Mr Tristan Lane would like to gratefully acknowledge Dr Luis R. Leon Jr, Dr Maureen K. Sheehan, and Dr Boulos Toursarkissian, previous contributors to this topic.
利益声明
LRL, MKS and BT declare that they have no competing interests.
同行评议者
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.
Nick Morrison, MD, FACS, FACPh
Director
Morrison Vein Institute
Scottsdale
AZ
利益声明
NM declares that he has no competing interests.
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