| 李一丹,吴雅峰,杨媛华,王辰.超声在肺血栓栓塞-深静脉血栓形成不同治疗方案疗效分析中的作用[J].中国医学影像技术,2008,24(s1):87~89 |
| 超声在肺血栓栓塞-深静脉血栓形成不同治疗方案疗效分析中的作用 |
| Analyze the curative effect of different treatment in pulmonary thromboembolism-deep venous thrombosis by ultrasound |
| 投稿时间：2008-02-20 修订日期：2008-07-31 |
| DOI： |
| 中文关键词: 超声检查 深静脉血栓 |
| 英文关键词:Ultrasonography Deep vein thrombosis |
| 基金项目:国家"十五"肺栓塞规范化诊治方法的研究课题(2004BA703B07)。 |
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| 中文摘要: |
| 目的 采用不同治疗方案对肺血栓栓塞症(PTE)-深静脉血栓形成(DVT)后短期疗效进行分析,探讨超声在其疗效分析中的作用。方法 选择性肺动脉造影或放射性肺灌注通气扫描确诊的急性肺血栓栓塞患者384例,根据肺血栓栓塞症的诊断与治疗指南分型标准及右心功能,分为大面积和次大面积PTE 171例(Ⅰ组)及非大面积PTE 213例(Ⅱ组),I组患者给以溶栓方案,II组患者给以抗凝方案,分别于治疗前及治疗14天后进行常规下肢深静脉探查。结果 DVT阳性患者212例,占所有 |
| 英文摘要: |
| Objective To analyze the curative effect of different treatment in pulmonary thromboembolism (PTE)-deep venous thrombosis (DVT). Methods Total 384 patients were diagnosed by pulmonary angiography or nuclide perfusion scintigraphy,which cases were divided massive/sub-massive PTE (group I) 171 examples and non-massive PTE (groupⅡ) 213 examples. All patients were carried on the conventional lower limb deep vein supersonic investigation before and treat latter 14 days. Results The DVT 212 examples, which accounted for all PTE patients total 55.2%, group I of DVT masculine patient 115 examples, group II of DVT masculine patient 97 examples. The lower limb deep vein thrombus completely dissolves were not certainly obvious, the group had no difference (P＞0.05) after treatment 14 days. Left side the DVT patient lower limb thrombus distribution the body were more than the right side distribution, popliteal vein and posterior tibial veins appears the thrombus to be highest, next for femoral vein and fibular veins. Conclusion Lower limb deep vein supersonic scan can promptly discover the thrombus, after the treatment regularly reexamines can reduce the dangerous of vein thrombus embolism again as well. |
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