彩色多普勒超声诊断下肢交通支静脉功能不全的临床价值  

The clinical value of color doppler flow imaging in diagonosis of perforating venous insufficiency of the lower extremity

作　　者：周晗[1] 吴庆华[1] 陈忠[1] 唐小斌[1] 杨培[1] 张煜亚[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所血管外科,北京100029

出　　处：《心肺血管病杂志》2011年第6期471-474,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:研究彩色多普勒超声诊断下肢交通支静脉功能不全的临床价值。方法:回顾性分析行大隐静脉高位结扎加剥脱术、交通支静脉离断术的64例患者(82条肢体)的临床资料。术前应用彩色多普勒超声检出功能不全的交通支静脉并将其定位,与手术结果相对比。结果:与手术结果相比,彩色多普勒超声诊断准确率、敏感性、特异性、漏诊率、误诊率、约登指数、比数积、阳性预测值、阴性预测值及Kappa值为分别是95.8%、96.5%、88.2%、3.5%、11.8%、0.837、206.5、98.8%、71.4%及0.766。由于彩色多普勒超声的Kappa值为0.766>0.75,且(P<0.0001),说明其与手术结果非常吻合。结论:彩色多普勒超声能够准确诊断并定位功能不全的交通支静脉,为诊断和治疗提供重要的依据,具有很高的临床价值。Objective：To investigate the clinical value of color Doppler flow imaging（CDFI） in diagonosis of perforating venous insufficiency of the lower extremity.Methods：The clinical data of 64 cases（82 limbs） undergoing high ligation and striping of great saphenous vein and perforator surgery were reviewed retrospectively.The dilated and insufficient perforating venous were diagnosed and located by CDFI.The results were compared with surgery.Results：Total consistent rate,sensitivity,specificity,omission diagonostic rate,mistake diagnositic rate,Youden index,Odd product,positive predictive value,negative predictive value,and Kappa of CDFI in diagnosis of perforating venous insufficiency of the lower extremity was respectively 95.8%、96.5%、88.2%、3.5%、11.8%、0.837、206.5、98.8%、71.4% and 0.766（P0.0001）.The CDFI foundings were consistent with operation results very well.Conclusion：CDFI is a useful technique for the diagnosis and locating the dilated and insufficient perforating venous correctly and provide important basis for the operation.

关 键 词：彩色多普勒超声 交通支静脉 慢性静脉功能不全 血管疾病 

分 类 号：R543[医药卫生—心血管疾病]