中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
20期
59-61
,共3页
下肢深静脉血栓%超声检查%多普勒%数字减影血管造影
下肢深靜脈血栓%超聲檢查%多普勒%數字減影血管造影
하지심정맥혈전%초성검사%다보륵%수자감영혈관조영
Lower extremity DVT%Ultrasonography%Doppler%Digital subtraction angiography
目的：探讨彩色多普勒超声对下肢静脉血栓（DVT）的诊断价值。方法对84例疑诊为下肢DVT的患者分别采用彩色多普勒超声和数字减影血管造影（DSA）检查，对检查结果进行对比分析。结果所有84例患者中，彩超诊断下肢DVT68例，左下肢49例（72.1%），右下肢19例（27.9%），左侧明显多于右侧；所有68例患者中，急性期39例，亚急性期20例，慢性期9例。DSA检查诊断下肢DVT66例。彩超诊断68例中，64例DSA检查诊断为下肢DVT，4例DSA检查阴性。彩超检查正常18例中，2例经DSA检查诊断为下肢DVT。与DSA检查结果比较，彩超诊断DVT敏感性为96.97%，特异性为88.9%，两种检查方法一致性好（Kappa值为0.78）。结论彩色多普勒超声检查简便、快捷、具有可重复性，与DSA检查一致性好，在下肢DVT的诊断中具有重要价值。
目的：探討綵色多普勒超聲對下肢靜脈血栓（DVT）的診斷價值。方法對84例疑診為下肢DVT的患者分彆採用綵色多普勒超聲和數字減影血管造影（DSA）檢查，對檢查結果進行對比分析。結果所有84例患者中，綵超診斷下肢DVT68例，左下肢49例（72.1%），右下肢19例（27.9%），左側明顯多于右側；所有68例患者中，急性期39例，亞急性期20例，慢性期9例。DSA檢查診斷下肢DVT66例。綵超診斷68例中，64例DSA檢查診斷為下肢DVT，4例DSA檢查陰性。綵超檢查正常18例中，2例經DSA檢查診斷為下肢DVT。與DSA檢查結果比較，綵超診斷DVT敏感性為96.97%，特異性為88.9%，兩種檢查方法一緻性好（Kappa值為0.78）。結論綵色多普勒超聲檢查簡便、快捷、具有可重複性，與DSA檢查一緻性好，在下肢DVT的診斷中具有重要價值。
목적：탐토채색다보륵초성대하지정맥혈전（DVT）적진단개치。방법대84례의진위하지DVT적환자분별채용채색다보륵초성화수자감영혈관조영（DSA）검사，대검사결과진행대비분석。결과소유84례환자중，채초진단하지DVT68례，좌하지49례（72.1%），우하지19례（27.9%），좌측명현다우우측；소유68례환자중，급성기39례，아급성기20례，만성기9례。DSA검사진단하지DVT66례。채초진단68례중，64례DSA검사진단위하지DVT，4례DSA검사음성。채초검사정상18례중，2례경DSA검사진단위하지DVT。여DSA검사결과비교，채초진단DVT민감성위96.97%，특이성위88.9%，량충검사방법일치성호（Kappa치위0.78）。결론채색다보륵초성검사간편、쾌첩、구유가중복성，여DSA검사일치성호，재하지DVT적진단중구유중요개치。
Objective To investigate the clinical value of color doppler ultrasound in the diagnosis of thrombus of lower extremity veins. Methods A total of 84 patients with thrombus of lower extremity veins(DVT) underwent color Doppler ultrasound and digital subtraction angiography (DSA), and analyzed the test results comparatively. Results Color doppler ultrasound diagnosed deep vein thrombosis(DVT) in 68 cases of all 84 patients, 49 cases were in the left low-er extremity (72.1%), 19 cases were in the right lower extremity (27.9%),patients were in the left more than in the right;In all 68 patients,39 cases were in acute stage,20 cases were in sub acute stage, 9 cases were in chronic period. DSA diagnosed lower extremity DVT in 66 cases in 68 cases diagnosed by color doppler ultrasound,DSA diagnosed lower extremity DVT in 64 cases, 4 cases that examined by DSA were negative. Color doppler ultrasound diagnosed normal in 18 cases, DSA found lower extremity DVT in 2 cases. Compared with the results of DSA examination, the sensitivity and the specificity of color doppler ultrasound for diagnosing DVT were 96.97% and 88.9%, the diagnostic consistency of both methods was high (Kappa=0.78). Conclusion Color doppler ultrasound is simple, fast and repro-ducible, it is high in consistency with DSA and has important value in the diagnosis of lower extremity DVT.
