中华医学超声杂志（电子版）
中華醫學超聲雜誌（電子版）
중화의학초성잡지（전자판）
CHINESE JOURNAL OF MEDICAL ULTRASOUND(ELECTRONICAL VISION)
2013年
2期
148-151
,共4页
超声检查,多普勒,彩色%静脉血栓形成%颅脑损伤%手术中并发症
超聲檢查,多普勒,綵色%靜脈血栓形成%顱腦損傷%手術中併髮癥
초성검사,다보륵,채색%정맥혈전형성%로뇌손상%수술중병발증
Ultrasonography,Doppler,color%Venous thrombosis%Craniocerebral trauma%Intraoperative complications
目的探讨彩色多普勒超声在颅脑损伤后围术期患者隐性孤立性小腿肌间静脉血栓中的应用价值.方法对解放军第一一三医院高压氧科收治的782例颅脑损伤后围术期患者行常规下肢深静脉彩色多普勒超声检查,分析孤立性小腿肌间静脉丛血栓的临床及声像图特点.结果小腿肌间静脉丛血栓119例,其中孤立性小腿肌间静脉丛血栓102例,合并近端深静脉血栓者17例.孤立性小腿肌间静脉丛血栓患者中,双肢病变13例(12.7%,13/102);单肢病变89例(87.3%,89/102),其中左侧52例(58.4%,52/89),右侧37例(41.6%,37/89).超声声像图示:受累静脉内径不规则增宽,管壁增厚,内膜粗糙,其内可见不均质异常实性回声,呈长条形,横切呈类圆形,阻塞部位管腔不能或部分能压闭;彩色多普勒超声示:无彩色血流显示或血流充盈缺损向心绕行.比目鱼肌血栓长度(2.1±0.8)cm,受累静脉内径(7.9±3.2)mm;腓肠肌血栓长度(1.7±0.6)cm,受累静脉内径(6.4±2.1)mm.比目鱼肌血栓长度及受累静脉内径大于腓肠肌,差异均有统计学意义(t值分别为4.87、4.96,P均<0.05).结论彩色多普勒超声是诊断颅脑损伤后围术期患者孤立性小腿肌间静脉丛血栓的首选方法,可显示血栓的部位、大小、累及范围,并可对血栓进行动态监测,为临床治疗及疗效评价提供可靠依据.
目的探討綵色多普勒超聲在顱腦損傷後圍術期患者隱性孤立性小腿肌間靜脈血栓中的應用價值.方法對解放軍第一一三醫院高壓氧科收治的782例顱腦損傷後圍術期患者行常規下肢深靜脈綵色多普勒超聲檢查,分析孤立性小腿肌間靜脈叢血栓的臨床及聲像圖特點.結果小腿肌間靜脈叢血栓119例,其中孤立性小腿肌間靜脈叢血栓102例,閤併近耑深靜脈血栓者17例.孤立性小腿肌間靜脈叢血栓患者中,雙肢病變13例(12.7%,13/102);單肢病變89例(87.3%,89/102),其中左側52例(58.4%,52/89),右側37例(41.6%,37/89).超聲聲像圖示:受纍靜脈內徑不規則增寬,管壁增厚,內膜粗糙,其內可見不均質異常實性迴聲,呈長條形,橫切呈類圓形,阻塞部位管腔不能或部分能壓閉;綵色多普勒超聲示:無綵色血流顯示或血流充盈缺損嚮心繞行.比目魚肌血栓長度(2.1±0.8)cm,受纍靜脈內徑(7.9±3.2)mm;腓腸肌血栓長度(1.7±0.6)cm,受纍靜脈內徑(6.4±2.1)mm.比目魚肌血栓長度及受纍靜脈內徑大于腓腸肌,差異均有統計學意義(t值分彆為4.87、4.96,P均<0.05).結論綵色多普勒超聲是診斷顱腦損傷後圍術期患者孤立性小腿肌間靜脈叢血栓的首選方法,可顯示血栓的部位、大小、纍及範圍,併可對血栓進行動態鑑測,為臨床治療及療效評價提供可靠依據.
목적탐토채색다보륵초성재로뇌손상후위술기환자은성고립성소퇴기간정맥혈전중적응용개치.방법대해방군제일일삼의원고압양과수치적782례로뇌손상후위술기환자행상규하지심정맥채색다보륵초성검사,분석고립성소퇴기간정맥총혈전적림상급성상도특점.결과소퇴기간정맥총혈전119례,기중고립성소퇴기간정맥총혈전102례,합병근단심정맥혈전자17례.고립성소퇴기간정맥총혈전환자중,쌍지병변13례(12.7%,13/102);단지병변89례(87.3%,89/102),기중좌측52례(58.4%,52/89),우측37례(41.6%,37/89).초성성상도시:수루정맥내경불규칙증관,관벽증후,내막조조,기내가견불균질이상실성회성,정장조형,횡절정류원형,조새부위관강불능혹부분능압폐;채색다보륵초성시:무채색혈류현시혹혈류충영결손향심요행.비목어기혈전장도(2.1±0.8)cm,수루정맥내경(7.9±3.2)mm;비장기혈전장도(1.7±0.6)cm,수루정맥내경(6.4±2.1)mm.비목어기혈전장도급수루정맥내경대우비장기,차이균유통계학의의(t치분별위4.87、4.96,P균<0.05).결론채색다보륵초성시진단로뇌손상후위술기환자고립성소퇴기간정맥총혈전적수선방법,가현시혈전적부위、대소、루급범위,병가대혈전진행동태감측,위림상치료급료효평개제공가고의거.
Objective To explore the clinical value of color Doppler ultrasonography in diagnosis of calf muscular venous thrombosis during peri-operation period after craniocerebral injury .Methods Regular lower limb deep venous color Doppler ultrasonography was performed in 782 patients who came from the department of hyperbaric oxygen during peri-operation period after craniocerebral injury .Results There were 119 cases of calf muscular venous thrombosis in total ,in which 102 cases were isolated calf venous thrombosis and 17 cases were complicated with proximal deep vein thrombosis .The incidence of calf venous thrombosis in single leg(89 patients,87.3%,89/102)was higher than that in both legs(13 patients,12.7%, 13/102),and the incidence of calf venous thrombosis in left leg (52 cases,58.4%,52/89)was higher than that in right leg(37 cases,41.6%,37/89).Ultrasonography showed irregularly widened vein with thickened wall and coarse intima.Heterogeneous echogenicity which was elongated in the long axis and round in the short axis can be found in the vein.The lumen of the obstruction site can not be partly or completely pressed . Color Doppler ultrasnongarphy showed no color flow or blood filling defect .The length of thrombus in soleus was(2.1 ±0.8) cm and the affected vein diameter was (7.9 ±3.2) mm.The length of thrombus in gastrocnemius was(1.7 ±0.6) cm and the involvement vein diameter was (6.4 ±2.1) mm.There were significant difference between soleus and gastrocnemius (t=4.87,4.96,both P<0.05).Conclusions Color Doppler ultrasnongarphy is the preferred method to diagnose isolated calf muscular venous thrombosis during peri-operation period after craniocerebral injury .It can display the position and size of thrombus and the extent of complication,dynamically monitor thrombus and provide a reliable basis of clinical treatment and curative effect evaluation.
