中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
14期
19-21
,共3页
超声检查,多普勒,彩色%静脉血栓形成
超聲檢查,多普勒,綵色%靜脈血栓形成
초성검사,다보륵,채색%정맥혈전형성
Ultrasonography,Doppler,color%Venous thrombosis
目的 探讨高频二维及彩色多普勒超声在诊断下肢深静脉血栓形成中的临床价值.方法 入选可疑下肢深静脉血栓形成患者89例,均进行高频二维及彩色多普勒超声检查,观察血管内径,血栓的位置、大小、回声及管腔内血流情况.结果 89例患者中,股-髂静脉血栓42例,占47.2％；小腿肌内静脉血栓27例,占30.3％；整个下肢深静脉血栓13例,占14.6％；肌间血肿5例,占5.6％；小腿皮下软组织水肿2例,占2.2％.89例患者中,检出血栓84例,其中双侧血栓2例,占2.4％；单发左下肢血栓57例,占67.9％；单发右下肢血栓25例,占29.8％,单发左下肢与单发右下肢血栓病例之比为2.28∶1.患侧肢体腘静脉、股静脉直径分别为(8.8±1.2)、(12.9±2.7) mm,显著大于健侧肢体的(5.9±1.5)、(9.2±2.1) mm,差异有统计学意义(P＜0.05).结论 高频二维及彩色多普勒超声对诊断下肢深静脉血栓形成的准确率较高,具有一定的敏感性和特异性.
目的 探討高頻二維及綵色多普勒超聲在診斷下肢深靜脈血栓形成中的臨床價值.方法 入選可疑下肢深靜脈血栓形成患者89例,均進行高頻二維及綵色多普勒超聲檢查,觀察血管內徑,血栓的位置、大小、迴聲及管腔內血流情況.結果 89例患者中,股-髂靜脈血栓42例,佔47.2％；小腿肌內靜脈血栓27例,佔30.3％；整箇下肢深靜脈血栓13例,佔14.6％；肌間血腫5例,佔5.6％；小腿皮下軟組織水腫2例,佔2.2％.89例患者中,檢齣血栓84例,其中雙側血栓2例,佔2.4％；單髮左下肢血栓57例,佔67.9％；單髮右下肢血栓25例,佔29.8％,單髮左下肢與單髮右下肢血栓病例之比為2.28∶1.患側肢體腘靜脈、股靜脈直徑分彆為(8.8±1.2)、(12.9±2.7) mm,顯著大于健側肢體的(5.9±1.5)、(9.2±2.1) mm,差異有統計學意義(P＜0.05).結論 高頻二維及綵色多普勒超聲對診斷下肢深靜脈血栓形成的準確率較高,具有一定的敏感性和特異性.
목적 탐토고빈이유급채색다보륵초성재진단하지심정맥혈전형성중적림상개치.방법 입선가의하지심정맥혈전형성환자89례,균진행고빈이유급채색다보륵초성검사,관찰혈관내경,혈전적위치、대소、회성급관강내혈류정황.결과 89례환자중,고-가정맥혈전42례,점47.2％；소퇴기내정맥혈전27례,점30.3％；정개하지심정맥혈전13례,점14.6％；기간혈종5례,점5.6％；소퇴피하연조직수종2례,점2.2％.89례환자중,검출혈전84례,기중쌍측혈전2례,점2.4％；단발좌하지혈전57례,점67.9％；단발우하지혈전25례,점29.8％,단발좌하지여단발우하지혈전병례지비위2.28∶1.환측지체객정맥、고정맥직경분별위(8.8±1.2)、(12.9±2.7) mm,현저대우건측지체적(5.9±1.5)、(9.2±2.1) mm,차이유통계학의의(P＜0.05).결론 고빈이유급채색다보륵초성대진단하지심정맥혈전형성적준학솔교고,구유일정적민감성화특이성.
Objective To explore the application value of high freuency two-dimensional and color Doppler ultrasonography in the detection of lower limb deep venous thrombosis.Methods Eighty-nine patients with suspicious lower limb deep venous thrombosis were enrolled and received high frequency two-dimensional and color Doppler ultrasonography examination.Vessel diameter,thrombus position,size and echo and blood flow in vessel were observed.Results In 89 patients,42 cases (47.2％) had femoral-iliac vein thrombus;27 cases(30.3％ ) had vein thrombus in intramuscular of cnemis; 13 cases (14.6％) had deep venous thrombosis of the whole lower limbs; 5 cases (5.6％) had intramuscular haematoma;2 cases (2.2％)had subcutaneous soft tissue edema of cnemis.Eighty-four cases were detected having vein thrombus,2 cases (2.4％) were in both lower limbs; 57 cases (67.9％) were in single left lower limb and 25 cases (29.8％)were in single right lower limb.The ratio between thrombus in single left lower limb and in single right lower limb was 2.28:1.The diameter of popliteal vein and femoral vein in affected side limb was respectively (8.8±1.2) mm and (12.9±2.7) mm,which was significantly larger than those in normal side limb[ (5.9 ±1.5) mm and (9.2±2.1 ) mm](P＜ 0.05).Conclusion High frequency two-dimensional and color Doppler ultrasonography has high precision in the diagnosis of lower limb deep venous thrombosis and with certain sensibility and specificity.
