大隱靜脈曲張課件-002

足背靜脈弓內(nèi)側(cè)端內(nèi)踝內(nèi)上踝股靜脈隱靜脈裂孔足背靜脈弓內(nèi)側(cè)端內(nèi)踝內(nèi)上踝股靜脈隱靜脈裂孔FaultplaneGreatsaphenousveinssuperficialFaultplaneGreatsaphenousveSuperficiallateral

femoralveinSuperficialmedial

femoralveinFivebranchesExternalpudendalveinSuperficialmedial

femoralveinSuperficialiliac

circumflexveinSuperficiallateral

femoralv旋髂淺動脈股內(nèi)側(cè)淺靜脈腹壁淺動脈陰部外動脈股外側(cè)淺靜脈旋髂淺動脈股內(nèi)側(cè)淺靜脈腹壁淺動脈陰部外動脈股外側(cè)淺靜脈EtiologyEtiologyEtiologyEtiologyPathogenicfactorsgravidafemalefitnesswearLongtimestandingobesityoralcontraceptivepillPathogenicfactorsgravidafeClinicalmanifestationVaricoseveinSwelling、heavylegsRednessdryness,anditchiness（癢）Skin：pigementation（色素沉著）ulcer

ClinicalmanifestationVaricoseSpecialexaminationSpecialexaminationSpecialexaminationPhysicalexaminationTrendelenburgtest（大隱靜脈瓣功能試驗）Perthestest（深靜脈通暢試驗）BultrasoniclowerextremityBultrasoniclowerveinangiography（下肢靜脈造影）SpecialexaminationPhysicaleTrendelenburgtestTrendelenburgtestPerthestestPerthestestDifferentialdiagnosisprimarylowerextremitydeepveinvalveinsufficiencylowerextremitydeepveinthrombosisarterio-venousfistula

DifferentialdiagnosisprimarComplicationsThrombophlebitis（血栓性靜脈炎）Skinulcers（皮膚潰瘍）Varicoseveinsburstintobleeding

（曲張靜脈破裂出血）ComplicationsTreatmentConservativetreatmentstretchsockInjectionsclerotherapySurgeryGreatSaphenousvein

Highligation

andstrippingsurgeryTreatmentConservativetreatmThankyou！Wedon’tstopplayingbecausewegrowold;wegrowoldbecausewestopplaying.