【摘要】 目的介绍一种新的下肢深静脉逆行造影术,探讨经皮穿刺大隐静脉下肢深静脉逆行造影术的可行性及应用价值。方法通过彩色多普勒超声或X光透视定位大隐静脉近端,采用Seldinger穿刺技术,经皮穿刺大隐静脉近端,插入造影导管至股静脉,行下肢深静脉逆行造影。结果32例患肢,28(87.5%)例穿刺成功,4(12.5%)例失败。造影结果:Kistner分级,Ⅰ级2(7.1%)例,Ⅱ级17(60.7%)例,Ⅲ级6(21.4%)例,Ⅳ级3(10.7%)例。所有病例均随访1～8个月,除局部少量皮下淤血外,无任何并发症。结论经皮穿刺大隐静脉下肢深静脉逆行造影术成功率高,损伤小,并发症少,可以代替经皮穿刺股静脉逆行深静脉造影术。更多还原

【Abstract】 Objective To introduce a new descending venography of deep vein in lower extremity via a percutaneous great saphenous access.The clinical value and practicability were also investigated.Methods The proximal great saphenous vein was located by duplex ultrasound under fluroscopy.Results The percutaneous great saphenous access was successfully establishedt on 28 limbs(87 5% ) out of 32, puncture was failed on the other 4 limbs (12 5% ) . According to Kistner grading the venography revealed 2 limbs in grade Ⅰ (7 1% ), 17 limbs in grade Ⅱ (60 7% ), 6 limbs in grade Ⅲ (21 4% ), 3 limbs in grade Ⅳ (10 7% ). A 1- 8 months’ follow- up is available for all patients. No complication was found except some local subcutaneous gore. Conclusion The descending venography of lower extremity’ s deep vein via a percutaneous great saphenous access is a less- invasive method with higher success rate and few complications. This method can be used to substitute descending venography via the femoral access.更多还原