CAJ | 학술논문

目的：探讨彩色多普勒超声检查对脊髓损伤患者下肢深静脉血栓和肺栓塞的诊断价值。方法对60例肺动脉栓塞患者(肺栓塞组)和同期35例无肺栓塞的脊髓损伤住院患者(对照组)进行下肢静脉彩色多普勒超声检查。结果肺栓塞组中，36例脊髓损伤患者，15例检出下肢静脉血栓；24例非脊髓损伤患者，9例检出下肢静脉血栓。脊髓损伤患者与非脊髓损伤患者相比，两组肺栓塞发生率无显著性差异(P>0.05)。对照组有5例检出下肢静脉血栓。肺栓塞组与对照组相比，下肢静脉血栓发生率有非常显著性差异(P<0.01)。肺栓塞组中，37例急性肺栓塞患者，11例检出下肢静脉血栓；23例慢性肺栓塞患者，10例检出下肢静脉血栓。两者检出率无显著性差异(P>0.05)。肺栓塞组中，31例检出股静脉瓣反流和小腿肌肉间静脉扩张，检出率51.7%；对照组8例检出，检出率22.9%。两组相比有非常显著性差异(P<0.01)。结论脊髓损伤后肺栓塞患者与非脊髓损伤肺栓塞患者的下肢静脉血栓检出率无明显差别，但均明显高于无肺栓塞的脊髓损伤患者。彩色多普勒超声检查下肢静脉对肺栓塞诊断具有临床价值。
목적：탐토채색다보륵초성검사대척수손상환자하지심정맥혈전화폐전새적진단개치。방법대60례폐동맥전새환자(폐전새조)화동기35례무폐전새적척수손상주원환자(대조조)진행하지정맥채색다보륵초성검사。결과폐전새조중，36례척수손상환자，15례검출하지정맥혈전；24례비척수손상환자，9례검출하지정맥혈전。척수손상환자여비척수손상환자상비，량조폐전새발생솔무현저성차이(P>0.05)。대조조유5례검출하지정맥혈전。폐전새조여대조조상비，하지정맥혈전발생솔유비상현저성차이(P<0.01)。폐전새조중，37례급성폐전새환자，11례검출하지정맥혈전；23례만성폐전새환자，10례검출하지정맥혈전。량자검출솔무현저성차이(P>0.05)。폐전새조중，31례검출고정맥판반류화소퇴기육간정맥확장，검출솔51.7%；대조조8례검출，검출솔22.9%。량조상비유비상현저성차이(P<0.01)。결론척수손상후폐전새환자여비척수손상폐전새환자적하지정맥혈전검출솔무명현차별，단균명현고우무폐전새적척수손상환자。채색다보륵초성검사하지정맥대폐전새진단구유림상개치。
Objective To study the value of color Doppler ultrasound in diagnosis of deep vein thrombosis (DVT) of lower extremity and pulmonary embolism (PE) in spinal cord injury (SCI). Methods 60 PE patients (PE group) and 35 SCI patients without PE (control group) received color Doppler ultrasound examination for DVT of lower extremity. Results PE group included 36 SCI patients (PE-SCI group) and 24 no-SCI patients (PE-no-SCI group). There were 15 cases with lower extremity thrombosis in PE-SCI group, and 9 cases in PE-no-SCI group (P>0.05), while there were 5 cases in the control group. There was significantly different in lower extremity thrombosis be-tween PE group and the control group (P<0.01). In PE group, the detection rate was not significantly different between acute PE (detected 11 cases out of 37 cases) and chronic PE (detected 10 cases out of 23 cases) (P>0.05). 31 cases were rechecked as lower extremity venous valve regurgitation and calf muscle vein dilation (51.7%) in PE group while 8 cases in the control group (22.9%) (P<0.01). Conclusion There is not significantly different in the detection rate of DVT of lower extremity in PE patients with and without spinal cord injury, which are higher than in the patients without PE. Color Doppler ultrasound is necessary to check DVT in acute and chronic PE patients.