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《Journal of Interventional Radiology》 2008-01
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The comparative study of conventional and innovative phlebographies in lower extremity

CHEN Guo-ping, GU Jian-ping, HE Xu, LOU Wen-sheng, CHEN Liang, SU Hao-bo, SONG Jin-hua. Department of Interventional Radiology, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China  
Objective The clinical values of conventional phlebography via percutaneous dorsal pedal vein access with scalp puncture was compared with innovative phlebography via a percutaneous great saphenous approach with retained catheter in lower extremity for detection of venous diseases. Methods Conventional and innovative phlebographies in lower extremity were performed in 34 suffering lower extremities of 30 patients, and the efficacy of the two methods was compared in demonstrating the venous diseases in lower extremities. Results The rates of vascular display of the common iliac vein , the valve of saphenous-femoral vein and the first couple valve of femoral vein were 100%, 100% and 91.18% respectively with innovative phlebography while the rates of vascular display were 32.25%, 73.53% and 64.71% respectively with conventional phlebography. Iliac vein compression syndrome(IVCS), venous valvular disfunction of saphenous-femoral vein and the venous valvular disfunction of the first couple valve of femoral vein were shown in 14, 25 and 21 cases respectively by innovative phlebography, and in 3, 14 and 12 cases respectively by conventional phlebography in patients suffering from varicose veins and chronic swelling of the lower extremities. There was significant difference between the innovative and conventional phlebographies(P 0.05). Conclusion The innovative phlebography possesses a higher efficacy in diagnosing IVCS, venous valvular disfunctions of saphenous-femoral vein and the first couple valve of femoral vein compared with conventional method. It would be an alternative method to the conventional one or percutaneous femoral venous approach.
【Fund】: 国家科技部“十一五”支撑计划课题(2006038073024)
【CateGory Index】: R816.2
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