彩色多普勒超声对原发性和继发性下肢静脉曲张的诊断价值  

Diagnosis of primary and secondary lower extremity venous engorgement with color Doppler ultrasonography

作　　者：赵跃华[1] 梁勇[1] 张红[1] 汤计磊 蒋乐[1] 

机构地区：[1]徐州市第一人民医院超声科,江苏徐州221002

出　　处：《徐州医学院学报》2008年第11期749-751,共3页Acta Academiae Medicinae Xuzhou

基　　金：徐州市科技计划指导项目(XZ200613)

摘　　要：目的探讨和评价超声在原发性和继发性下肢静脉曲张疾病中的显像特征、诊断价值和临床意义。方法对70条经临床和X线造影确诊的下肢静脉血管进行探测,对其不同病因所致的下肢静脉曲张的病变特征进行分析。结果原发性与继发性下肢静脉曲张各自具备不同的超声特征,其2DE、彩色多普勒显像及频谱波形与测值亦不同。结论彩色多普勒超声能够区分原发性与继发性下肢静脉曲张,为临床及手术提供准确诊断,并能术前定位、术后复查,具有无创、操作方便、可靠等优点,应作为下肢静脉血管病变检查的首选。Objective To observe and evaluate the graphic features, diagnostic value and clinical significance in primary and secondary lower extremity venous engorgement （LEVE）. Methods 70 cases with LEVE diagnosed by angiography were observed by ultrasonography and their different pathogeneses causing LEVE were analyzed. Results Primary and secondary LEVE had different characteristics in ultrasonographic images as well as different two - dimensional uhrasonographs, CDFI images and PW Doppler waves. Conclusions Color Doppler uhrasonography is able to distinguish the primary and secondary LEVE. It supplies accurate diagnosis to clinical medicine and operations and also able to provide preoperative localization and postoperative check, which appears to be a safe, less invasive, convenient to handle and reliable and can be recommended as a top diagnostic method in the examinations of blood vessels disease of lower extremities.

关 键 词：彩色多普勒超声 下肢静脉曲张 原发性 诊断 

分 类 号：R654.4[医药卫生—外科学]