Recurrent varicose veins: incidence, risk factors and groin anatomy.
Recurrent varicose veins: incidence, risk factors and groin anatomy.
复制标题
复发性静脉曲张：发病率、危险因素和腹股沟解剖结构。
DOI：
10.1016/j.ejvs.2003.12.022
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
D. Bergqvist
中科院分区：
文献类型：
--
作者：
L. Blomgren;G. Johansson;Agneta Dahlberg;A. Norén;Carl Brundin;E. Nordström;D. Bergqvist
ObjectivesTo investigate复发率后隐股交界处（SFJ）结扎和大隐静脉（GSV）剥离静脉曲张（VV），复发的危险因素进行评估，并分类的解剖复发在腹股沟.DesignClinical follow-up study.MethodsEighty-nine连续患者100手术腿进行了重新检查临床和6-10年后的双工。14例腹股沟再次探查，13例在静脉曲张造影术后。腹股沟的解剖学根据爱丁堡系统进行分类。原始病历进行了检查，以检查可能导致复发的危险因素。结果五十七条腿有不称职的静脉在腹股沟根据双工。其中54例可以确定功能不全静脉是否起源于前SFJ。静脉曲张造影和手术结果与双功吻合良好。主要困难是区分新生血管和残余分支。没有显着的风险因素复发被发现在医疗records.ConclusionsRecurrence的VV SFJ结扎后是常见的，无论围手术期的困难或外科医生的经验。腹股沟复发的解剖学很难根据爱丁堡系统进行分类，主要是因为新血管形成很难验证。
ObjectivesTo investigate the recurrence rate after sapheno-femoral junction (SFJ) ligation and great saphenous vein (GSV) stripping for varicose veins (VV), to evaluate risk factors for recurrence and to classify the anatomy of the recurrence in the groin.DesignClinical follow-up study.MethodsEighty-nine consecutive patients with 100 operated legs were re-examined clinically and with duplex after 6–10 years. Fourteen groins were re-explored, 13 after varicography. The anatomy in the groin was classified according to the Edinburgh system. The original medical records were examined to check for risk factors which could lead to a recurrence.ResultsFifty-seven legs had incompetent veins in the groin according to duplex. In 54 of them, it was possible to define whether the incompetent veins emanated from the former SFJ. Varicography and operative findings correlated well to duplex. The main difficulty was to distinguish neovascularization from residual branches. No significant risk factor for recurrence was found in the medical records.ConclusionsRecurrence of VV after SFJ ligation is common irrespective of perioperative difficulties or the surgeon's experience. The anatomy of recurrence in the groin is difficult to classify according to the Edinburgh system mainly because neovascularization is difficult to verify.