하지 정맥류의 컬러도플러 초음파: 복재-대퇴정맥 접합부 역류의 단순 분류법Color Doppler Ultrasound of Lower Extremity Varicose Veins: A Simple Grading of Sapheno-Femoral Junction Reflux
- Other Titles
- Color Doppler Ultrasound of Lower Extremity Varicose Veins: A Simple Grading of Sapheno-Femoral Junction Reflux
- Authors
- 허식; 홍석주; 김신기; 박상우; 홍선화; 김연수
- Issue Date
- 2011
- Publisher
- 대한초음파의학회
- Keywords
- Varicose veins; Lower extremity; Ultrasonography; Doppler; Color
- Citation
- ULTRASONOGRAPHY, v.30, no.4, pp.251 - 256
- Indexed
- KCI
- Journal Title
- ULTRASONOGRAPHY
- Volume
- 30
- Number
- 4
- Start Page
- 251
- End Page
- 256
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/114282
- ISSN
- 2288-5919
- Abstract
- Purpose: To establish a simple grading method for the severity of an incompetent sapheno-femoral junction (SFJ) using color Doppler ultrasound in patients with lower extremity varicose veins.
Materials and Methods: 346 legs of 241 consecutive patients with varicose veins were examined (M:F = 96:145, 11-74 years, mean 50 years). The severity of SFJ and sapheno-popliteal (SPJ) incompetence was graded from I to IV according to the patient’s position (standing versus supine or prone) and whether the Valsalva’s maneuver had been induced. The extent of varicose veins was graded as I to III by the US findings in the SFJ incompetence group. The grading of SFJ incompetence was compared to the extent of varicose vein.
Results: SFJ, SPJ, both SFJ and SPJ, and perforator incompetence was observed in 198 (57.2%), 81 (23.4%), 21 (6.1%) and 54 (15.6%), respectively. Among the SFJ incompetence group, severity grade I - IV were observed in 14 (7.1%), 75 (37.9%), 73(36.9%), and 36 (18.2%), respectively, and the extent grade I - III were noted in 47(23.7%), 95 (48.0%), and 56 (28.3%), respectively. The SFJ incompetence grade and varicose extent grade showed a positive correlation (p < 0.0001).
Conclusion: Simple sonographic grading of the severity of SFJ incompetence is possible. The extent of varicose veins in the SFJ incompetence group can be determined using this new grading system.
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