지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.85 No.4
- 발행연도
- 2013.10
- 수록면
- 169 - 174 (6page)
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초록· 키워드
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Purpose: Increased saphenous vein diameter is a common consequence of saphenous vein reflux. Until now, there have been no reports about the correlation between diameter and reflux of saphenous vein in Korea. The aim of this study was to investigate the correlation between saphenous vein reflux and diameter changes.
Methods: From April 2009 to August 2012, 777 patients were sent to the vascular laboratory for evaluation of venous reflux. The diameter of the saphenous vein was measured with B-mode imaging, and reflux was quantified based on valve closure time using Doppler spectral tracings. Receiver operating characteristics curve analysis was applied to determine the best saphenous vein diameter cutoff for predicting reflux.
Results: The mean diameters of normal great saphenous vein (GSV) and refluxed GSV were 5.0 ± 2.4 mm and 6.4 ± 2.0 mm, respectively. The mean diameters of normal small saphenous vein (SSV) and refluxed SSV were 3.1 ± 1.3 mm and 5.2 ± 2.7 mm, respectively. The diameter differences between the normal and refluxed GSV and SSV were 1.4 mm and 2.1 mm, respectively, and these differences were statistically significant (P < 0.0001). A GSV threshold diameter of 5.05 mm had the best positive predictive value for reflux. The sensitivity and specificity at 5.05 mm were 76% and 60%, respectively. The best SSV diameter for predicting reflux was 3.55 mm. The sensitivity and specificity at 3.55 mm were 87% and 71%, respectively.
Conclusion: GSV diameter of ≥5.05 mm had the best positive predictive value for pathologic reflux. For pathologic reflux of SSV, the best cutoff diameter was 3.55 mm.
Methods: From April 2009 to August 2012, 777 patients were sent to the vascular laboratory for evaluation of venous reflux. The diameter of the saphenous vein was measured with B-mode imaging, and reflux was quantified based on valve closure time using Doppler spectral tracings. Receiver operating characteristics curve analysis was applied to determine the best saphenous vein diameter cutoff for predicting reflux.
Results: The mean diameters of normal great saphenous vein (GSV) and refluxed GSV were 5.0 ± 2.4 mm and 6.4 ± 2.0 mm, respectively. The mean diameters of normal small saphenous vein (SSV) and refluxed SSV were 3.1 ± 1.3 mm and 5.2 ± 2.7 mm, respectively. The diameter differences between the normal and refluxed GSV and SSV were 1.4 mm and 2.1 mm, respectively, and these differences were statistically significant (P < 0.0001). A GSV threshold diameter of 5.05 mm had the best positive predictive value for reflux. The sensitivity and specificity at 5.05 mm were 76% and 60%, respectively. The best SSV diameter for predicting reflux was 3.55 mm. The sensitivity and specificity at 3.55 mm were 87% and 71%, respectively.
Conclusion: GSV diameter of ≥5.05 mm had the best positive predictive value for pathologic reflux. For pathologic reflux of SSV, the best cutoff diameter was 3.55 mm.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Beebe-Dimmer JL / 2005 / The epidemiology of chronic venous insufficiency and varicose veins / Ann Epidemiol 15 : 175 ~ 184
2. [학술지(정기간행물)] - Cesarone MR / 2002 / 'Real' epidemiology of varicose veins and chronic venous diseases: the San Valentino Vascular Screening Project / Angiology 53 : 119 ~ 130
3. [학술지(정기간행물)] - Brand FN / 1988 / The epidemiology of varicose veins: the Framingham Study / Am J Prev Med 4 : 96 ~ 101
4. [학술지(정기간행물)] - Engelhorn C / 1997 / Relationship between reflux and greater saphenous vein diameter / J Vasc Technol 21 : 167 ~ 171
5. [학술지(정기간행물)] - Mendoza E / 2013 / Great saphenous vein diameter at the saphenofemoral junction and proximal thigh as parameters of venous disease class / Eur J Vasc Endovasc Surg 45 : 76 ~ 83
2. [학술지(정기간행물)] - Cesarone MR / 2002 / 'Real' epidemiology of varicose veins and chronic venous diseases: the San Valentino Vascular Screening Project / Angiology 53 : 119 ~ 130
3. [학술지(정기간행물)] - Brand FN / 1988 / The epidemiology of varicose veins: the Framingham Study / Am J Prev Med 4 : 96 ~ 101
4. [학술지(정기간행물)] - Engelhorn C / 1997 / Relationship between reflux and greater saphenous vein diameter / J Vasc Technol 21 : 167 ~ 171
5. [학술지(정기간행물)] - Mendoza E / 2013 / Great saphenous vein diameter at the saphenofemoral junction and proximal thigh as parameters of venous disease class / Eur J Vasc Endovasc Surg 45 : 76 ~ 83
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UCI(KEPA) : I410-ECN-0101-2014-510-002804964