CAJ | 학술논문

目的观察彩色多普勒超声(CDFI)对下肢深静脉血栓(DVT)形成诊断的可靠性.方法用CDFI对41例共45条患肢行下肢深静脉彩色多普勒超声检测,并对结果进行分析.结果 41例患者中左下肢DVT 26例,右下肢DVT 11例,双下肢DVT 4例;左下肢的发病率明显高于右下肢,常累及股总静脉、股浅静脉、股深静脉、胴静脉,声像图特点为管腔内探及实性高或低回声团块充填,脉冲多普勒血流速度减慢或无血流且不受呼吸及远端肢体挤压影响.结论彩色多普勒超声检查对DVT形成是一种可靠的诊断依据,对临床治疗有较好的指导作用.
목적 관찰채색다보륵초성(CDFI)대하지심정맥혈전(DVT)형성진단적가고성.방법 용CDFI대41례공45조환지행하지심정맥채색다보륵초성검측,병대결과진행분석.결과 41례환자중좌하지DVT 26례,우하지DVT 11례,쌍하지DVT 4례;좌하지적발병솔명현고우우하지,상루급고총정맥、고천정맥、고심정맥、동정맥,성상도특점위관강내탐급실성고혹저회성단괴충전,맥충다보륵혈류속도감만혹무혈류차불수호흡급원단지체제압영향.결론 채색다보륵초성검사대DVT형성시일충가고적진단의거,대림상치료유교호적지도작용.
Objective To observe reliability of color Doppler ultrasound in diagnosis lower extremity deep venous thrombosis(DVT).Methods 45 lower limbs in 41 cases suspected as deep venous thrombosis were examined by CDFI.The results were analyzed.Results In this group,26 cases of 41 were found venous thrombosis, 11 cases in the right and 4 cases in both.The most common site of venous thrombosis was the left lower limbs.The femoral vein,superficial femoral vein ,deep femoral vein, popliteal vein were involved frequently.Hyper-echo or hypo-echo masses were seen in the lumen.Thin blood flow or no blood flow was observed in color Doppler.Slow velocity was detected or the velocity was not changed with deep breath in pulse Doppler.Conclusion Color Doppler ultrasound has high reliability in diagnosing lower extremity DVT.It an excellent diagnostic tool in clinical treatment of such disease.