薛利芳,张珊珊,赵艺超,于蕾,王雪.超声评价高度可疑肺栓塞患者下肢深静脉血栓[J].中国医学影像技术,2009,25(2):226~228
超声评价高度可疑肺栓塞患者下肢深静脉血栓
Ultrasonographic evaluation of lower extrimity deep vein thrombosis in patients with high-probability pulmonary embolism
投稿时间:2008-11-04  修订日期:2008-12-15
DOI:
中文关键词:  超声检查  肺栓塞  深静脉血栓
英文关键词:Ultrasonography  Pulmonary embolism  Deep vein thrombosis
基金项目:
作者单位E-mail
薛利芳 北京大学人民医院超声科,北京 100044 lifang in 2008@hotmail.com 
张珊珊 北京大学人民医院超声科,北京 100044  
赵艺超 北京大学人民医院超声科,北京 100044  
于蕾 北京大学人民医院超声科,北京 100044  
王雪 北京大学人民医院超声科,北京 100044  
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中文摘要:
       目的 探讨超声检查对发现高度可疑肺栓塞(PE)患者合并有下肢深静脉血栓(DVP)的价值。 方法 将161例临床及螺旋CT扫查高度可疑肺栓塞患者,按照是否有形成血栓危险因素和(或)深静脉血栓(DVT)症状分为两组。凡具有上述条件之一者为组1患者,共计118例;既无DVT症状也无危险因素者为组2,共计43例。所有患者均行超声检查。结果 超声检查发现组1有DVT者15例,其中发生在膝及膝以上者4例,发生在小腿者11例。组2无一例发现有DVT(95%可信度)。组2在除外DVT的阴性预见性为100%(95%的可信度)。结论 超声对发现高度可疑肺栓塞患者下肢DVT有重要价值。
英文摘要:
      Objective To assess the clinical significance of ultrasonography in evaluation of lower extrimity deep vein thrombosis (DVT) possibility in pulmonary embolism (PE) patients. Methods A total of 161 patients with high-possible pulmonary embolism underwent lower extrimity ultrasonography, and were divided into two groups according to whether having thrombotic risk factors and (or) the DVT symptoms (group 1, n=118) or not (group 2, n=43). Results There were 15 patients with DVT in group 1, 4 were at or above the knees, and 11 at calf, while no DVT was not detected in group 2 (95% confidence). The negative forecast of ultrasonography for exception DVT was 100% in group 2 (95% confidence). Conclusion Ultrasonography has significant value in evaluation of lower extrimity DVT in high-possible PE patients.
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