title: [Doppler and ultrasonic diagnosis in sclerosis of the saphenous veins].
abstract: Basing his report on a series of several hundreds of examinations, the author presents his experience of Doppler and echotomography in the sclerosant treatment of varicose veins. The examination procedure comprised, during the initial examination, throughout the treatment and at the end of the treatment: a dynamic study using the Doppler examination, with search for reflux and measurement of its pressure; and a morphological study, using echotomography, of the saphenofemoral junction with the measurement of different gauges and compression techniques. The examination reveals the underlying haemodynamic and morphological elements. Subsequent surveillance enables the practitioner to objectivize the velocimetric and morphological modifications induced by sclerosis, the appreciation of which has up until now been purely clinical. The modifications consist of parietal thickening with reduced gauge and the frequent presence of a transitory thrombus. The transformation of a reflux into a flux of physiological type, and indeed, its disappearance, is the main consequence of these modifications. These techniques therefore appear to be of great interest in therapeutic orientation, given their successes, failures and their causes. However, the present work has only given fragmentary and qualitative results, which a future paper will give in more detail.
mesh_terms: D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D012501:Saphenous Vein; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D014463:Ultrasonography; D014648:Varicose Veins / Q000175:diagnosis / Q000628:therapy*
chemical_list: D012597:Sclerosing Solutions
vernacular_title: Doppler et échotomographie dans la sclérose des veines saphènes.