[Clinical and X-ray diagnosis of vertical blood reflux in muscle-venous pump of lower extremities and pelvis in varicosity].

Four hundred and twenty three patients with varicosity were comprehensively examined and surgically treated. X-ray diagnosis of vertical blood reflux was made in each of 4 musculovenous pumps (the abdominocaval pump, the punps of the hip, shin, foot). The first pump was studied by retrograde pelvic phlebography through the contralateral leg, the second one was examined by retrograde contrast administration into the onset of the external iliac vein as the second stage of retrograde pelvic phlebography or by its direct puncture, the third pump was explored by retrograde saphenous phlebography with pneumocompression of deep veins of the hip proximalo the site of puncture. The vertical reflux in the foot pump was determined by retrograde talocrural phlebography by contrast administration into the accompanying rectal vein above 4 cm of the foot along the Lington line. At surgery, vertical blood reflux was removed in each area of the musculovenous pump by extravasal correction of failing deep venous valves. Analyzing the outcomes of treatment in the patients and controls who underwent routine superficial and accompanying vein surgery without removing vertical blood reflux showed that the application of the new approaches to X-ray diagnosis and treatment of varicosity yielded excellent and good treatment outcomes by 10.6%, reduced poor ones by 10.8%, shortened the mean disability duration by 15.6 + 2.3 days, prevented disability.