大隐静脉曲张PPT课件.ppt

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1、足背静脉弓内侧端足背静脉弓内侧端 内踝 内上踝股静脉隐静脉裂孔Fault plane Great saphenous veinssuperficial Superficial lateral femoral vein Superficial medial femoral veinFive branchesExternal pudendal vein Superficial medial femoral veinSuperficial iliac circumflex vein 旋髂浅动脉 股内侧浅静脉腹壁浅动脉 阴部外动脉 股外侧浅静脉Etiology Etiology Pathogenic

2、factors gravidafemalefitness wear Longtime standingobesityoral contraceptive pillClinical manifestation1.Varicose vein2.Swelling、heavy legs3.Redness dryness, and itchiness （痒）4.Skin：pigementation（色素沉着） ulcer Special examinationSpecial examinationPhysical examinationTrendelenburg test（大隐静脉瓣功能试验）Perth

3、es test（深静脉通畅试验）B ultrasoniclower extremity B ultrasoniclower vein angiography（下肢静脉造影）Trendelenburg testPerthes testDifferential diagnosis 1. primary lower extremity deep vein valve insufficiency 2. lower extremity deep vein thrombosis3. arterio-venous fistula Complications1.Thrombophlebitis（血栓性静脉炎）

4、2.Skin ulcers（皮肤溃疡）3.Varicose veins burst into bleeding（曲张静脉破裂出血）Treatment 1.Conservative treatment stretch sock 2.Injection sclerotherapy3.Surgery Great Saphenous vein High ligation and stripping surgery Thank you！We dont stop playing because we grow old; we grow old because we stop playing. - George Bernard Shaw