大隐静脉曲张（ppt）课件

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1、GreatSaphenousVeinVaricesHEYICHENAnatomy足背静脉弓内侧端内踝内上踝股静脉隐静脉裂孔FaultplaneGreatsaphenousveinssuperficialSuperficiallateralfemoralveinSuperficialmedialfemoralveinFivebranchesExternalpudendalveinSuperficialmedialfemoralveinSuperficialiliaccircumflexvein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EtiologyE

2、tiologyPathogenicfactorsgravidafemalefitnesswearLongtimestandingobesityoralcontraceptivepillClinicalmanifestationVaricoseveinSwelling、heavylegsRednessdryness,anditchiness（痒）Skin：pigementation（色素沉着）ulcerSpecialexaminationSpecialexaminationPhysicalexaminationTrendelenburgtest（大隐静脉瓣功能试验）Per

3、thestest（深静脉通畅试验）BultrasoniclowerextremityBultrasoniclowerveinangiography（下肢静脉造影）TrendelenburgtestPerthestestDifferentialdiagnosisprimarylowerextremitydeepveinvalveinsufficiencylowerextremitydeepveinthrombosisarterio-venousfistulaComplicationsThrombophlebitis（血栓性静脉炎）Skinulcers（皮肤溃疡）Varic

4、oseveinsburstintobleeding（曲张静脉破裂出血）TreatmentConservativetreatmentstretchsockInjectionsclerotherapySurgeryGreatSaphenousveinHighligationandstrippingsurgeryThankyou！Wedon’tstopplayingbecausewegrowold;wegrowoldbecausewestopplaying.-GeorgeBernardShaw