虞晓龙,李尊,郑建刚,奚静.彩色多普勒超声诊断下肢深静脉血栓[J].中国医学影像技术,2013,29(1):51~54
彩色多普勒超声诊断下肢深静脉血栓
Diagnosis of lower extremity deep vein thrombosis with color Doppler ultrasound
投稿时间:2012-06-27  修订日期:2012-08-03
DOI:
中文关键词:  静脉血栓形成  超声检查,多普勒,彩色  静脉造影术
英文关键词:Venous thrombosis  Ultrasonography, Doppler, color  Phlebography
基金项目:
作者单位E-mail
虞晓龙 常州市武进人民医院超声科  
李尊 常州市武进人民医院超声科 lizunsir@163.com 
郑建刚 放射科, 江苏 常州 213000  
奚静 常州市武进人民医院超声科  
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中文摘要:
      目的 与深静脉造影相比,探讨彩色多普勒超声对下肢深静脉血栓(DVT)的诊断价值。方法 对80例临床疑诊下肢DVT患者行彩色多普勒超声与深静脉造影检查,对比分析检查结果。结果 80例可疑深静脉血栓患者中,彩色多普勒超声诊断65例下肢DVT,深静脉造影诊断64例;一致性检验显示两种方法的一致性好(Kappa值=0.80)。彩色多普勒超声诊断DVT的敏感度为96.88%(62/64),特异度为81.25%(13/16)。结论 彩色多普勒超声诊断DVT具有较高的敏感度和特异度,可与深静脉造影相结合,作为诊断DVT的首选影像学方法。
英文摘要:
      Objective To investigate the value of color Doppler ultrasound for diagnosis of deep vein thrombosis (DVT) in lower extremity compared with veinography. Methods Eighty patients with clinically suspected DVT underwent color Doppler ultrasound and veinography of lower extremity, then the diagnostic results were comparatively analyzed. Results Among 80 cases, color Doppler ultrasound diagnosed DVT in 65 cases, while veinography found DVT in 64 cases, the diagnostic consistency of both methods was high (Kappa=0.80). The sensitivity and specificity of color Doppler ultrasound for diagnosing DVT was 96.88% (62/64) and 81.25% (13/16), respectively. Conclusion Color Doppler ultrasound has high sensitivity and specificity for diagnosing lower extremity DVT. Combining with deep veinography, Color Doppler ultrasound can be used as the preferred method for diagnosing DVT.
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