1、Great Saphenous Vein Varices,HEYI CHEN,Anatomy,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 veins,superficial,Superficial lateral femoral vein,Superficial medial femoral vein,Five branches,External pudendal vein,Superficial medial femoral vein,Superficial iliac circumflex vein,旋髂浅动脉,股内侧浅静脉,
2、腹壁浅动脉,阴部外动脉,股外侧浅静脉,Etiology,Etiology,Pathogenic factors,gravida,female,fitness wear,Longtime standing,obesity,oral contraceptive pill,Clinical manifestation,Varicose vein Swelling、heavy legs Redness dryness, and itchiness (痒) Skin:pigementation(色素沉着) ulcer,Special examination,Special examination,Phy
3、sical examination Trendelenburg test(大隐静脉瓣功能试验) Perthes test(深静脉通畅试验) B ultrasonic lower extremity B ultrasonic lower vein angiography(下肢静脉造影),Trendelenburg test,Perthes test,Differential diagnosis,primary lower extremity deep vein valve insufficiency lower extremity deep vein thrombosisarterio-veno
4、us fistula,Complications,Thrombophlebitis(血栓性静脉炎)Skin ulcers(皮肤溃疡)Varicose veins burst into bleeding (曲张静脉破裂出血),Treatment,Conservative treatment stretch sock Injection sclerotherapySurgery 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,