تقويم اختبارات دوالي الطرف السفلي السريرية

Clinical varicose veins tests were done (Trandelenburg-Brodie test-Perthes' test Schwartz test) on all patients who were admitted in Surgery Department in Al-Assad university Hospital, Lattakia, with diagnosis of varicose veins in the lower extremities between 2004 and 2007. The study included 85 patients (107 legs). We noticed that Schwartz test did not give us any benefits in 56,5% of patients who had valvular reflux in greater saphenous and proved only 25% of valvular reflux in lesser saphenous. The Trandelenburg-Brodie test diagnosed 71% of valvular reflux in greater saphenous and 53,1% of valvular reflux in lesser saphenous. Perthes' test diagnosed 64,7% of valvular reflux in deep venous systems in the lower extremities. Clinical varicose veins tests which have been done had high credibility when they were positive, while when they were negative did not exclude illness. So we recommend that all patients who have varicose veins should be sent for duplex ultrasonography.