刘月洁,杨力,宋奕宁,张万蕾,李建国.彩色多普勒超声诊断小腿后肌间静脉血栓[J].中国医学影像技术,2008,24(12):1933~1935
彩色多普勒超声诊断小腿后肌间静脉血栓
Color Doppler flow imaging diagnosis of muscular calf venous thrombosis
投稿时间:2008-06-27  修订日期:2008-09-07
DOI:
中文关键词:  超声检查,多普勒,彩色  静脉血栓形成  造影剂
英文关键词:Ultrasonography, Doppler, color  Venous thrombosis  Contrast media
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作者单位E-mail
刘月洁 北京大学人民医院超声科,北京 100044  
杨力 北京大学人民医院超声科,北京 100044  
宋奕宁 北京大学人民医院超声科,北京 100044  
张万蕾 北京大学人民医院超声科,北京 100044  
李建国 北京大学人民医院超声科,北京 100044 guomds@vip.sina.com 
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中文摘要:
       目的 探讨彩色多普勒超声对小腿后肌间静脉血栓的临床诊断价值。方法 选择行膝关节或髋关节置换术患者72例共94肢,于术前行下肢静脉彩色多普勒超声检查,记录有无血栓并检测股静脉反流情况;术后14天行超声检查及顺行性下肢X线静脉造影。结果 术后65肢分别经静脉造影和彩色多普勒超声检查,静脉造影发现3肢,彩色多普勒超声检查发现18肢小腿后肌间静脉内血栓形成,彩色多普勒超声对小腿后肌间静脉血栓的检出明显优于X线静脉造影。术前有反流的静脉中小腿肌间静脉血栓发生率57.14%(16/28);无反流的静脉中小腿肌间静脉血栓发生率17.78%(8/45),术前伴有股静脉反流的静脉血栓发生率高于正常静脉(P<0.01)。结论 彩色多普勒超声检测小腿后肌间静脉血栓优于X线静脉造影,便于对血栓进行动态监测,可为临床治疗及疗效评价提供可靠的依据。
英文摘要:
      Objective To investigate the value of color Doppler flow imaging (CDFI) in diagnosis of muscular calf venous thrombosis. Methods Seventy-two patients underwent hip or knee joint replacement, and 92 lower extremities of these patients were examined with CDFI pre-operation in order to detect deep venous thrombosis, while X-ray contrast venography (CV) was performed on 65 lower extremities. Results Muscular calf venous thrombosis was detected on 3 lower extremities via CV, whereas on 18 lower extremities with CDFI (P<0.05). The incidence of muscular calf venous thrombosis with venous regurgitation and non-regurgitation extremities were 57.14% (16/28) and 17.78% (8/45), respectively. Conclusion CDFI can be regarded as a simple, rapid, non-invasive and reliable procedure in detection of the muscular calf venous thrombosis.
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