The relationship between color Doppler sonography findings with clinical findings in patients referred for evaluation of lower extremity venous system failure to ultrasound ward of Imam Reza Hospital in 2021

Abstract

Varicose veins of the lower extremities are the most common vascular disorders in humans that cause serious signs and symptoms in patients and sometimes lead to surgical treatment. The aim of this study was to investigate The relationship between color Doppler sonography findings with clinical findings in patients referred for evaluation of lower extremity venous system failure to ultrasound ward of Imam Reza Hospital in 2021. Materials and Methods: In this descriptive-analytical study, 100 patients who referred for lower extremity venous Doppler ultrasound due to venous insufficiency problems were included in the study. Six patients were excluded due to dissatisfaction to participate in the study. 94 patients were evaluated. Patients were asked questions about demographic information, duration of symptoms, occupation, clinical symptoms, history of internal diseases, history of venous problems, and then after obtaining consent, patients underwent color Doppler ultrasound for bilateral saphenofemoral junction failure, which in Valsalva maneuver and reflux for more than one second in the great saphenous vein are considered positive reflux. Results: The mean age of the patients was 39.76±5.51 years and 53.2% were male. The highest frequency of patients' jobs was related to hairdresser (25.5%) and then employee (23.4%). Two patients also reported a history of venous problems in other organs. The most common clinical symptom observed in patients was varicose veins and then telangiectasia or reticular veins (44.7% and 19.1%, respectively). The mean pain of patients according to VAS scale was 3.80±1.09. In addition, edema +1 was observed in 8 patients. Of the 94 patients studied, 36 (38.3%) had positive reflux during the Valsalva maneuver. In the evaluation of venous Doppler in patients, the most common finding was related to saphenofemoral junction failure (44.45%).