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目的：探讨静脉穿刺插管造影术对下肢静脉疾病诊断的价值。方法：２０例２３条肢体行顺行深静脉造影和经皮静脉脉穿刺插管造影检查。结果：技术成功率为１００％。未发生并发症。２３条肢体中深静脉瓣膜功能不全的１４条，其中２条伴有交通静脉瓣膜功能不全。单纯交通静脉瓣膜功能不全１条。大隐静脉近端瓣膜功能不全３条。深静脉血栓形成后遗症２条。深静脉血栓形成２条。静脉瘤样病变１条。基本包括了常见下肢静脉疾病。结论：该法具有易穿刺插管，不易损伤瓣膜的优点。可满意显示髂－股－静脉，并能逐一观察每一对瓣膜的功能，同时也是髂－股－静脉血栓开通治疗的重要途径之一，弥补了其他造影术的不足。
Objective: To investigate the value of paracentesis and venography in the diagnosis of venous diseases of the lower extremities. Methods: Twenty cases of 23 limbs underwent deep venous angiography and percutaneous venous catheterization. Results: The technical success rate was 100%. No complications occurred. Of the 23 limbs, 14 had deep venous insufficiency in limbs, of which 2 were accompanied by traffic insufficiency of the venous valve. Simple traffic venous valve insufficiency 1. Great saphenous vein near the valve dysfunction 3. Deep venous thrombosis sequelae 2. Deep venous thrombosis 2. Venous tumor-like lesions 1. Basically includes the common lower extremity venous disease. Conclusion: This method is easy to puncture intubation, not easy to damage the advantages of the valve. Can be satisfactorily displayed iliac - shares - veins, and one by one to observe the function of each valve, but also iliac - femoral vein thrombosis open treatment of one of the important ways to make up for the lack of other angiography.