IMAGING CHARACTERISTICS OF VENOUS LESIONS OF THE LOWER EXTREMITIES ON DOPPLER ULTRASOUND IN PATIENTS WITH CHRONIC VENOUS INSUFFICIENCY AT THAI BINH MEDICAL UNIVERSITY HOSPITAL

Vũ Thanh Bình1,, Lê Đức Cường1
1 Thai Binh University of Medicine and Pharmacy

Main Article Content

Abstract

Objectives: To describe the imaging characteristics of venous lesions of the lower extremities on Doppler ultrasound in patients with chronic lower extremity venous insufficiency at Thai Binh Medical University Hospital. Method: Cross-sectional study; 96 patients were collected - sample size was calculated according to descriptive study. Results: For the superficial venous system, patients with great saphenous venous insufficiency accounted for the highest proportion (33.3%). The proportion of patients with both saphenous venous insufficiency was 24.0%. At stage C4, 5, 6, the mean diameter of the femoral, popliteal was significantly larger than that of stage C1, 2, 3 (p<0.05). There were 3 patients with thrombosis, accounting for 3.1%; patients without thrombosis accounted for 96.9%. Patients with venous reflux flow from 3 to 5 seconds accounted for the highest proportion (47.9%). The proportion of patients with venous reflux flow over 5 seconds accounted for 7.3%. Conclusion: Chronic venous insufficiency of the lower extremities in the superficial venous system is mainly insufficiency of the great saphenous veins; the mean diameter of the veins of the femoral, popliteal and lower legs at stage C4, C5, C6 is significantly larger than at stages C1, C2, C3.

Article Details

References

1. Abu O.A. and Scurr J.H., (2004). “Saphenous vein reflux without incompetence at the saphenofemoral function”. British journal of surgery; 81(10):1452-1454.
2. Đặng Hanh Đệ, (2011), Suy tĩnh mạch mạn tính chi dưới. Bệnh lý mạch máu cơ bản. Tài liệu dịch, NXB Giáo dục Việt Nam, tr. 112-116.
3. Jeffrey L.B. and John J., (2000), Venous Anatomy of the Lower Limb, Chronic venous insufficiency: diagnosis and treatment; Altern Medicine; pp. 126-140.
4. Lin J.C. and Iafrati M.D., (2004), “Correlation of duplex ultrasound scanning - derived valve closure time and clinicalclassification in patients with small saphenous veinreflux: Is lesser saphenous vein truly lesser?”. Journal of Vascular Surgery; 39(5):1053-1058.
5. Navarro T.P., (2002), “Clinical and Hemodynamic Significance of the Greater Saphenous Vein Diameter in Chronic Venous Insufficiency”. Arch Surgery; 137:1233-1237.
6. Padberg F.T., (2005), CEAP classification for chronic venous disease, Dis Mon; pp. 176-182.
7. Rhabi Y., Arthapignetic C., et al, (2000), Lower limb vein enlargement and spontaneous blood flow echogenicity are normal sonographic findings during pregnancy, Journal of Clinical Ultrasound; pp. 407–13.
8. WHO, (2000), The Asia Pacific Perspective: Redefining Obesity and its treatment. https://iris.wpro.who.int/bitstream/handle/10665.1/5379/0957708211_eng.pdf