下肢深静脉血栓各分期的彩色多普勒表现及疗效评价  

The Showing and Curative Effect Assess of the Color Doppler flow Imaging in Different Periods of Deep Vein Thrombus in Legs

作　　者：邹宝 段建明[2] 

机构地区：[1]安徽省淮南市新华医疗集团新华医院超声科,232052 [2]安徽省淮南市新华医疗集团新华医院呼吸内科,淮南232052

出　　处：《血栓与止血学》2012年第2期79-82,共4页Chinese Journal of Thrombosis and Hemostasis

摘　　要：目的应用彩色多普勒超声(CDFI)对检出的下肢深静脉血栓(DVT)患者进行临床分期,通过早期识别、早期治疗,降低肺栓塞的发病率或由肺动脉血栓导致的猝死及血栓后综合征(post-thrombotic syndrome,PTS)。方法选取2010年1月～2011年8月40例经CDFI及DSA确诊的下肢静脉血栓病人,包括急性血栓、亚急性血栓、慢性血栓病人,观察其声像图。结果急性、亚急性、慢性血栓二维彩超表现及CDFI表现有较典型的声像图表现。经治疗后效果表现为:急性血栓早期(回流不畅期)治疗效果最好,1个月内血栓溶解,中晚期3个月内血栓溶解;而亚急性血栓早期(1个月内)治疗3～6个月或6个月以上方见血栓大部分溶解,中晚期(1～6个月)及慢性血栓6个月以上仍可见血栓,有的甚至随访10年仍可见机化的血栓回声。结论急性血栓治疗效果最好,亚急性血栓其次,慢性血栓治疗效最差。Objective Application of color doppler ultrasound（CDFI） detection of the lower limbs of deep vein thrombosis（DVT） for the clinical stages,by the early identification and early treatment,reduce the incidence of pulmonary embolism or by the sudden death of pulmonary artery thrombosis cause blood clots and post-thrombotic syndrome. Methods Choose the 40 patients from the January of 2010 to the August of 2011.They are all the patients checked by CDFI and DSA,and diagnosed the patients who are vein thrombus in legs,including acute thrombus,subacute thrombus and chronic thrombus.Obserse the pictures of Color Doppler Flow Imaging. Results The showing of two dimensions color supersonic wave and the showing of CDFI has typical sound wave.The results after treating are different.The result of early acute thrombus（flowing back is not easy）is the best.The thrombus can be dissolved less than one month.The thrombus of the middle period and later period can be dissolved in 3 months.But the thrombus of subacute needs 3～6 months or more than 6 months to dissolve most of the thrombus.But we can still see the thrombus among the patients of the thrombus of the middle period and later period.We can see the organization echo wave of thrombus after 10 years in the chronic thrombus patients. Conclusion The treatment on acute thrombus patient is the best.The treatment on subacute thrombus patients is the second.The treatment on chronic thrombus patients is the worst.

关 键 词：下肢深静脉血栓 彩色多普勒超声 分期 疗效评价 

分 类 号：R543.6[医药卫生—心血管疾病]