超声对小腿肌肉静脉丛血栓的诊断价值  

Diagnostic value of ultrasound in calf muscular veniplex thrombosis

作　　者：李征毅[1] 张家庭[1] 冯健[1] 夏荣[2] 李泉水[1] 刘伟宗[1] 张婵[1] 

机构地区：[1]深圳市第二人民医院超声科,518035 [2]深圳市第二人民医院耳鼻喉科,518035

出　　处：《临床超声医学杂志》2009年第7期478-480,共3页Journal of Clinical Ultrasound in Medicine

基　　金：深圳市医学重点专科建设经费(2005C06)

摘　　要：目的评价彩色多普勒超声检测小腿肌肉静脉丛血栓的应用价值。方法应用彩色多普勒超声检查42例患者的小腿肌肉内深静脉（比目鱼肌静脉、腓肠肌静脉）、胫后静脉、腓静脉、胫前静脉及胭静脉以上近端深静脉是否有血栓形成。结果小腿肌肉静脉丛血栓形成位于左侧21例，右侧17例，双侧4例。超声随诊发现经治疗的患者中，2例血栓溶解，37例血栓未出现延伸；3例未遵医嘱者2例出现血栓延伸。结论彩色多普勒超声能有效监测小腿肌肉内静脉血栓，可以作为首选的方法。Objective To evaluate the application value of color Doppler ultrasonography in calf muscular veniplex thrombosis. Methods Deep vein in calf muscle of 42 patients were examined by color Doppler ultrasound （ soleus muscle vein, gastrocnemius vein, posterior tibial veins, peroneal veins, anterior tibial veins and proximal deep veins above the knee） , then thrombosis in the vein was examined by ultrasound. Results In 42 cases, there were 21 cases of muscular veniplex thrombosis in left calf, 17 cases of muscular veniplex thrombosis in right calf, and 4 cases of muscular veniplex thrombosis in hibateral calves. No thrombus extension was found in 37 cases and thrombolysis was found in 2 cases after treatment by uhrasonography. Thrombus extension in the proximal vein was detected in 2 of 3 cases without treatment. Conclusion Color Doppler ultrasound can monitor calf muscular veniplex thrombosis effectively, and it would be the first method in clinic.

关 键 词：超声检查 多普勒 彩色 血栓 静脉丛 

分 类 号：R543.604[医药卫生—心血管疾病] R445.1[医药卫生—内科学]