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| Color Doppler Ultrasound of Lower Extremity Varicose
Veins: A Simple Grading of Sapheno-Femoral Junction
Reflux |
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| Sik Huh, MD1, Suk Joo Hong, MD, PhD1, Shin Kee Kim, MD1,
Sang Woo Park, MD, PhD2, Sun Hwa Hong, MD1, Yeon Soo Kim, MD, PhD3 |
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| 1Department of Radiology, Korea University Guro Hospital, Korea University College of
Medicine
2Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine
3Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, Inje University
College of Medicine |
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| 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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| Keyword : Varicose veins; Lower extremity; Ultrasonography, Doppler, Color |
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pdf파일 : 251-256허식.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2011 ; 30 (4) : p.251-256
