Sakaguchi, Shukichi; Ishitobi, Kozo; Yoshizaki, Satoshi; Baba, Shozo; Kameda, Tadashi
May 1970
Angiology;May1970, Vol. 21 Issue 5, p283
Academic Journal
Dynamic phlebography and pelvic phlebography were performed on 120 lower extremities of 108 patients with normal extremities and various diseases. The obtained findings were analyzed by the new method of classification consisting of the following three characteristics. 1. Each portion of deep veins of the lower extremities is expressed as numbers from 1 to 10. 2. Eight findings are expressed as abbreviations and the numbers of the involved vein or the degree of finding are subscripted. 3. The specific finding of each disease is shown by a special coefficient, namely mean severity calculated from the degrees of the finding. The following clinical results were obtained by means of this analysis. 1. Some pathologic findings were observed as false positives in normal extremities. However, severities of these findings were minimal. This may show the clinical usefulness of this method of phlebography. 2. The disturbed venous return attributable to obstruction of deep veins was recognized in phlebothrombosis. Meanwhile, the venous reflux was added to it in the postthrombotic syndrome. However, it was observed that the whole venous return in the latter was slightly better than in the former. 3. The location and extent of thrombosis were studied in cases of postthrombotic syndrome. Some characteristic findings, such as low incidence of thrombosis localized in leg vein, were found in cases in our country. 4. In cases of varicose veins, the return impairment due to venous reflux was observed, but the severity of the impairment was the mildest in the other diseases. 5. The findings of cases of lymphedema quite resembled the normal pattern except the remarkable residue of contrast media after the exercise of limb. 6. With our method of classification, the record of findings obtained by dynamic phlebography of the lower extremities is markedly simplified and its analysis can be performed in detail. Consequently, the phlebographic particularities of each disease may be more correctly and easily understood.


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