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KMID : 0980120070060010016
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Annals of Phlebology
2007 Volume.6 No. 1 p.16 ~ p.19
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Comparison of Hemodynamic and Anatomic Cha-racteristics between Varicose Vein and Venous Ulcer Patients Originated from Great Saphenous Vein with Air-plethysmography and Duplex Scan
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Park Ki-Hyuk
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Abstract
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Purpose: The purpose of this study is to compare air-plethy-smogram results between primary varicose vein and venous ulcer patients who had hemodynamic reflux only in great saphenous vein (GSV) pathology and also differentiate the morphologic characteristics of sapheno-femoral junction with duplex scan.
Method: Patients who had pathology other than primary reflux of GSV was excluded as thrombus, deep vein path-ology. Group 1 for primary varicose vein, group 2 for venous ulcer patients and each was 28 patients equally. Standard protocol for air-plethysmogram was done and the diameter of GSV (GSVD), SFJ, femoral vein (FVD) and the ratio of each value-GSV/FV (GFDR) and SFJ/FV (JFDR)- were measured by color-flow duplex scanning.
Result: Venous filling index (VFI) showed statistically sig-nificance between two groups which was 4.89±0.64 in group 2 and 3.21±0.35 in group (P value 0.02). But other para-meter ejection fraction (EF), and residual volume fraction (RVF) was not different significantly in two groups. The mean value of great saphenous vein, femoral vein and sapheno- femoral junction was showed no differences.
Conclusion: VFI of air-plethysmogram was considered signi-ficant differentiate parameter between primary varicose vein and venous ulcer origin GSV reflux. And it could be consi-dered as prognostic parameter for venous ulcer. There is no size differences in GSV, sapheno-femoral junction. It means there is more than anatomic factor in progression of chronic venous disease.
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KEYWORD
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Varicose vein, Venous ulcer, Air-plethysmogram, Duplex scan
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