当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
12期
6-7
,共2页
彩色多普勒超声%急性下肢深静脉血栓%数字减影血管造影
綵色多普勒超聲%急性下肢深靜脈血栓%數字減影血管造影
채색다보륵초성%급성하지심정맥혈전%수자감영혈관조영
Color doppler ultrasound%Acute lower extremity deep venous thrombosis%Digital subtraction angiography
目的探讨彩色多普勒超声(CDUS)诊断下肢深静脉血栓形成的临床价值.方法采用彩色多普勒超声仪对2009年7月~2012年7月来高州市人民医院就诊的75例疑患有下肢深静脉血栓形成患者进行检查与诊断,并与数字减影血管造影(DSA)的临床检查结果进行对比,对所得结果进行统计学分析.结果 CDUS观察71条下肢深静脉血栓形成的部位与DSA的结果相符合,临床诊断符合率为94.67%(71/75),并对二者进行Kappa一次性检验,其值为0.669>0.05.结论 CDUS临床诊断下肢深静脉血栓快捷、安全、费用低廉、可重复检查,操作简便,患者依从性高、图像显示直观,能够同时了解血管周围病变情况及血管内血流的状态,对疾病的治疗效果和其发生、发展、转归判定具有重要的临床价值.
目的探討綵色多普勒超聲(CDUS)診斷下肢深靜脈血栓形成的臨床價值.方法採用綵色多普勒超聲儀對2009年7月~2012年7月來高州市人民醫院就診的75例疑患有下肢深靜脈血栓形成患者進行檢查與診斷,併與數字減影血管造影(DSA)的臨床檢查結果進行對比,對所得結果進行統計學分析.結果 CDUS觀察71條下肢深靜脈血栓形成的部位與DSA的結果相符閤,臨床診斷符閤率為94.67%(71/75),併對二者進行Kappa一次性檢驗,其值為0.669>0.05.結論 CDUS臨床診斷下肢深靜脈血栓快捷、安全、費用低廉、可重複檢查,操作簡便,患者依從性高、圖像顯示直觀,能夠同時瞭解血管週圍病變情況及血管內血流的狀態,對疾病的治療效果和其髮生、髮展、轉歸判定具有重要的臨床價值.
목적탐토채색다보륵초성(CDUS)진단하지심정맥혈전형성적림상개치.방법채용채색다보륵초성의대2009년7월~2012년7월래고주시인민의원취진적75례의환유하지심정맥혈전형성환자진행검사여진단,병여수자감영혈관조영(DSA)적림상검사결과진행대비,대소득결과진행통계학분석.결과 CDUS관찰71조하지심정맥혈전형성적부위여DSA적결과상부합,림상진단부합솔위94.67%(71/75),병대이자진행Kappa일차성검험,기치위0.669>0.05.결론 CDUS림상진단하지심정맥혈전쾌첩、안전、비용저렴、가중복검사,조작간편,환자의종성고、도상현시직관,능구동시료해혈관주위병변정황급혈관내혈류적상태,대질병적치료효과화기발생、발전、전귀판정구유중요적림상개치.
@@@@Objective To explore the value of color doppler ultrasound (CDUS) diagnosis of acute deep venous thrombosis of lower extremity. Methods 75 patients suspected of having Doppler ultrasonography from July 2009 to July 2012 were examined and the diagnosis of deep venous thrombosis of lower extremity, and subtraction angiography and digital ( DSA ) comparison of the clinical examination results, statistical analysis of the results. Results CDUS was observed in 71 of lower extremity deep venous thrombosis of the site and DSA results of conformity, the clinical diagnostic accordance rate was 94.67%(71/75), and Kappa disposable test of two, its value is 0.669, 0.05. Conclusion CDUS diagnosis of deep venous thrombosis of lower extremity with a fast, safe, low cost, repeated inspection, simple operation, high compliance of the patients, image display intuitive, can also understand the blood vessels and vascular lesions around the state, and the therapeutic effect on the diseases and its occurrence, development, prognosis judgement has clinical value important, can be used to diagnose deep venous thrombosis of lower extremity preferred inspection method.