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Shaidakov E.V.

N.I. Bekhtereva Institute of the Human Brain

Sannikov A.B.

Clinic of Innovative Diagnostics «Medica»;
Pirogov National Research Medical University

Emel’yanenko V.M.

Pirogov National Research Medical University

Rachkov M.A.

First Clinical Medical Center

Drozdova I.V.

Medical center «Palitra»

Ultrasound criteria of diameter of the intramuscular veins of the leg in the normal and the degree of their ectasia in varicose disease of the lower extremities: results of a multicenter controlled comparative study

Authors:

Shaidakov E.V., Sannikov A.B., Emel’yanenko V.M., Rachkov M.A., Drozdova I.V.

More about the authors

Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2020;4(3): 16‑24

DOI: 10.17116/operhirurg2020403116

Read: 5595 times

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Table of contents

ULTRASOUND CRITERIA OF DIAMETER OF THE INTRAMUSCULAR VEINS OF THE LEG IN THE NORMAL AND THE DEGREE OF THEIR ECTASIA IN VARICOSE DISEASE OF THE LOWER EXTREMITIES: RESULTS OF A MULTICENTER CONTROLLED COMPARATIVE STUDY
ULTRASOUND CRITERIA OF DIAMETER OF THE INTRAMUSCULAR VEINS OF THE LEG IN THE NORMAL AND THE DEGREE OF THEIR ECTASIA IN VARICOSE DISEASE OF THE LOWER EXTREMITIES: RESULTS OF A MULTICENTER CONTROLLED COMPARATIVE STUDY

To cite this article:

Shaidakov EV, Sannikov AB, Emel’yanenko VM, Rachkov MA, Drozdova IV. Ultrasound criteria of diameter of the intramuscular veins of the leg in the normal and the degree of their ectasia in varicose disease of the lower extremities: results of a multicenter controlled comparative study. Russian Journal of Operative Surgery and Clinical Anatomy. 2020;4(3):16‑24. (In Russ.)
https://doi.org/10.17116/operhirurg2020403116

Подписка 2026 Оперативная хирургия и клиническая анатомия (Пироговский научный журнал) (Russian Journal of Operative Surgery and Clinical Anatomy)
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Abstract:

THE PURPOSE

Determination of ultrasound criteria of diameters of intramuscular veins of the leg in normal and the degree of their ectasia in patients with chronic venous disease (CVD) of various clinical classes.

MATERIAL AND METHODS

During the period from 2015 to 2019, using ultrasound duplex scanning (USDS), 412 men and women who had no signs of varicose transformation of veins of the lower extremities (group 1) were examined, and 1203 patients with CVD were examined with their distribution in accordance with the international CEAP classification as follows: C0—C1 — 359 (29.8%) people (2nd group), C2—C3 — 570 (47.4%) patients (3rd group) and (C4—C6) — 274 (22.8%) examined (4th group). USDS was performed on PHILIPS-EPIQ 5G and 7G devices in B-mode with color Doppler mapping in the patient’s vertical position. Statistical analysis of the data obtained was performed using the IBM-SPSS-Statistica software package, which made it possible to analyze and compare quantitative indicators, as well as to carry out correlation and regression analyzes.

RESULTS

Statistical analysis of the data obtained showed that in the 1st group (variant of the norm) the diameter of the intramuscular veins of the leg according to USDS data at p=0.05, i.e. with an error tolerance of no more than 5% of observations, had corresponded to the digital value 0.35±0.06; in the 2nd group (C0—C1) — 0.45±0.06; in group 3 (C2—C3) — 0.79±0.15 and in group 4 — 0.81±0.16.At the same time, the statistically verified level of the median of diameters in these groups was, respectively, in the 1st group (variant of the norm) 0.35 cm; in the 2nd group (C0—C1) — 0.45 cm; in the 3rd group (C2—C3) — 0.79 cm and in the 4th group (C4—C6) — 0.81 cm. Comparable data were obtained when comparing the quartiles in each group and the study groups with each other. Based on the data obtained, the classification of the degree of ectasia of the intramuscular veins of the leg, depending on the established diameter of the veins, is presented for discussion.

CONCLUSION

Based on the obtained ultrasound data, it was found that the diameter of the intramuscular veins of the leg is normal and in patients with C0 — C1 is no more than 0.5 cm. With the development of varicose disease (C2—C3) and progressive CVI (C4—C6), the diameter of intramuscular veins exceeds 0.5 cm, with gradual ectasia of these veins up to 0.8 cm or more (p<0.05).

Keywords:

anatomical structures of the veins of the lower extremities
gastrocnemius veins
soleus veins
ultrasound diagnostics
ectasia of intramuscular veins
varicose disease
chronic venous insufficiency

Authors:

Shaidakov E.V.

N.I. Bekhtereva Institute of the Human Brain

Sannikov A.B.

Clinic of Innovative Diagnostics «Medica»;
Pirogov National Research Medical University

Emel’yanenko V.M.

Pirogov National Research Medical University

Rachkov M.A.

First Clinical Medical Center

Drozdova I.V.

Medical center «Palitra»

Received:

14.04.2020

Accepted:

21.05.2020

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References:

  1. Konstantinova GD, Zubarev AR, Gradusov E.G. Phlebology. M.: Vidar-M; 2000. (In Russ.).
  2. Savel’ev VS, Gologorskij VA, Kirienko AI. Phlebology: A guide for doctors, by ed VS Savel’ev. M.: Meditsina; 2001. (In Russ.).
  3. SHval’b PG, Uhov YuI. Pathology of venous return from the lower extremities. Ryazan’. 2009. (In Russ.).
  4. Gavrilenko AV. Diagnosis and treatment of chronic venous insufficiency of the lower extremities. M. 1999. (In Russ.).
  5. Konstantinova GD, Voskresenskij PK, Gordina O.V. Practical guide on the treatment of varicose veins. M.: Profil’; 2006. (In Russ.).
  6. Stojko YuM, Lytkin MI, Shajdakov EV. Venous Hypertension of Caval Venous System. SPb. 2002. (In Russ.).
  7. Tsukanov YuT. Local venous hypervolemia as clinical physiopathopatological phenomenon of varicose veins. Angiologiya i sosudistaya khirurgiya. 2001;7(2):50-55. (In Russ.).
  8. Dodd H, Cockett F.B. The pathology and sugery of the veins of the lower limb. Edinburg: Churchill Livingstone; 1976.
  9. Lundbrook J. The musculovenous pumps of the human lower limb. Am Heart J. 1966;71(5):635-641.  https://doi.org/10.1016/0002-8703(66)90313-9
  10. Shevchenko YuL, Stojko YuM, SHajdakov EV. Anatomical and physiological features of muscular and venous sinuses of the leg. Angiologiya i sosudistaya khirurgiya. 2000;1(6):57-60. (In Russ.).
  11. Gladkih VG, Lazarenko VA, Firsov EF, SHevelev EL. The role of x-ray-morphological and functional changes in the lower leg muscle veins in the pathogenesis of varicose disease. Vestnik rentgenologii i radiologii. 1992;4:39-42. (In Russ.).
  12. Lazarenko VA, Sannikov AB. X-ray anatomical and functional parallels of the lower leg muscle veins in norm and pathology. Vizualizaciya v klinike. 2002;21:58-61. (In Russ.).
  13. Shevkunenko VN. Atlas of the peripheral nervous and venous systems. M.: Medgiz; 1949. (In Russ.).
  14. Uhl JF, Gillot C. Embriology and threedimensional anatomy of the superficial venous system of the lower limbs. Phlebology. 2007;22(5):194-206.  https://doi.org/10.1258/026835507782101717
  15. Uhl JF. Three-dimensional modelling of the venous system by direct multislice helical computed tomography venography: technique, indications and results. Phlebology. 2012;27:270-288.  https://doi.org/10.1258/phleb.2012.012j07
  16. Uhl JF, Gillot C. Anatomy of the foot venous pump: physiology and influence on chronic venous disease. Phlebology. 2012;27(5):219-230.  https://doi.org/10.1258/phleb.2012.012b01
  17. Sannikov AB, Emel’yanenko VM, Rachkov M.A, Drozdova IV. The anatomical structure of the venous collector of the gastrocnemius muscle according to multispiral computed tomography venography. Operativnaya hirurgiya i klinicheskaya anatomiya. 2019;3(1):19-26. (In Russ.). https://doi.org/10.17116/operhirurg2019301119
  18. Sannikov AB, Emel’yanenko VM, Rachkov MA, Drozdova IV. The anatomical structure of the venous collector of the soleus muscle according to multispiral computed tomography venography. Operativnaya hirurgiya i klinicheskaya anatomiya. 2019;3(2):5-12. (In Russ.). https://doi.org/10.17116/operhirurg201930214
  19. Sannikov AB, Emel’yanenko VM, Rachkov MA. The specific anatomical features of structure of the calf intramuscular veins in the healthy subjects and the patients presenting with chronic venous disease: Data Obtained by multi-spiral computed phlebography. Flebologiya. 2018;4:292-299. (In Russ.). https://doi.org/10.17116/flebo201812041292
  20. Shevchenko YuL, Stojko YuM. Clinical phlebology. M.: Press; 2016.
  21. Postnova NA. Ultrasound diagnosis of venous diseases of the lower extremities. M.: STROM; 2011. (In Russ.).
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