孤立性小腿肌内静脉血栓的彩色多普勒超声诊断分析  

作　　者：阮燕[1] 邹品飞[1] 

机构地区：[1]云南省中医医院功能科,云南650021

出　　处：《当代医学》2014年第13期64-66,共3页Contemporary Medicine

摘　　要：目的探讨下肢小腿肌内静脉血栓的好发部位,并分析其与静脉本身解剖及血流动力学关系。方法选择经超声诊断为孤立性小腿肌内静脉血栓患者76例,85条病变小腿。统计肌内静脉血栓好发部位,比较腓肠肌及比目鱼肌内静脉血栓的发病率,检测病变小腿深浅静脉瓣膜功能情况。结果患者均经临床诊断证实。76例患者,85条病变小腿,单侧小腿病变67例(88.16%,67/76),双侧小腿病变9例(11.84%,9/76),二者对比差异有统计学意义(P<0.05),腓肠肌内静脉血栓4腿(4.71%,4/85),比目鱼肌内静脉血栓81腿(95.29%,81/85),二者对比差异有统计学意义(P<0.05)。结论小腿肌内静脉血栓多见于比目鱼肌内,多为单侧发病,与静脉本身解剖及血流动力学异常有关。Objective To study the preferable site of calf muscle venous thrombosis and analysize the anatomic and hemodynamic relation with the vein itself. Methods 76 patients with muscular venous thrombosis of calf were selected, including 85 lower legs with intramuscular venous thrombosis to make statistics of where intramuscular venous thrombosis readily occurred and compare the occurance rate of the gastrocnemius and soleus muscle in the incidence of venous thromboembolism. Delet the sitation of deep venous valve function of lesion of calf. Results Total patients were confirmed by clinical diagnosis. 76 patients,Total 85 calves with Muscular venous thrombosis, Among all Unilateral calf lesions;67 patients （88.16%, 67/76） bilateral calf lesions;9 patients （11.84%, 9/76）, By comparing the two groups significant difference can be found （P＆lt;0.05）, The gastrocnemius muscle vein thrombosis 4 legs （4.71%, 4/85）, soleus muscle venous thrombosis 81 legs （95.29%, 81/85）, there was evident difference through the comparision （P＆lt;0.05）. Conclusion The predilection site of intramuscular venous thrombosis of Calf is soleus muscle,owing to its anatomical and hemodynamical abnormalities.

关 键 词：肌肉内静脉血栓 小腿 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]