原发性下肢深静脉瓣膜功能不全超声与X-线造影比较研究  

Primary Lower Limb Deep Venous Incompetence:Comparative Study of Colour Doppler Flow Imaging(CDFI) with X-ray Retrograde Venography

作　　者：张桂瑜 楼新江 杨守和 许旭东 郭锋 徐晓飞 

机构地区：[1]诸暨市人民医院超声科,浙江省311800

出　　处：《中国超声诊断杂志》2005年第7期490-493,共4页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的探讨彩色多普勒超声与X-线静脉逆行造影在原发性下肢深静脉瓣膜功能不全中的诊断价值。方法206例(300条肢体)不同程度下肢浅静脉曲张患者,用彩色多普勒技术在Valsalva试验后,测量股浅静脉腘静脉内返流持续时间,同时与X-线静脉逆行造影比较。结果判断深静脉瓣膜返流程度彩色多普勒与X-线静脉逆行造影比较总的诊断符合率为88%。结论彩色多普勒诊断下肢深静脉瓣膜功能不全具有较高的可信度,并能对受损瓣膜部位作出更直接的诊断,且具有无创伤性、快速、简便,可以广泛运用于临床。Objective To investigate the diagnostic value of CDFI in primary lower limb deep venous incompetence (PLLDVI). Methods Reflux time was recorded by CDFI after valsalva t est in superficial femoral and popliteal veins in 206 cases with various degrees of varicose vein in lower extremities.The results were compared with X-ray re trograde venography. Results The diagnostic coincidense rate of PLL DVI on CDF I to X-ray retrograde venography was 88%. Conclusions CDFI has higher credit in the diagnosis of PL LDVI,and can make more direct diagnoses for the location of the injured valvae without any injury.

关 键 词：原发性下肢深静脉瓣膜功能不全 X线造影 静脉逆行造影 VALSALVA 彩色多普勒超声 下肢浅静脉曲张 彩色多普勒技术 彩色多普勒诊断 返流持续时间 诊断符合率 X-线 诊断价值 不同程度 股浅静脉 返流程度 结果判断 无创伤性 

分 类 号：R654.4[医药卫生—外科学] R816.5[医药卫生—临床医学]