彩色多普勒超声在下肢深静脉血栓形成诊断和疗效评价中的应用价值——附531例分析  

VALUE OF COLOR DOPPLER ULTRASONIC EXAMINATION ON DVT DIAGNOSIS AND THERAPEUTIC EVALUATION

作　　者：黄雪玲[1] 叶有强[1] 常光其[1] 李松奇[1] 王深明[1] 

机构地区：[1]中山医科大学附属第一医院血管外科,广州510080

出　　处：《中国现代医学杂志》2002年第3期40-42,共3页China Journal of Modern Medicine

摘　　要：目的回顾性分析总结该院 10年来用彩色多普勒超声诊断DVT的优势、不足之处和应注意的问题。方法 :患者 5 31例。均经彩色多普勒超声诊断并收入该院治疗 ,其中 6例行静脉造影对照。结果 :5 31例 5 6 5条肢体中确诊为DVT5 2 6例 5 6 0条 ,其中股青肿 3例 3条。确诊为深静脉血栓形成后遗症 5例 5条。绝大部分经保守治疗和个别必要的手术治疗效果良好 ,从而证明了彩超诊断的准确性。结论 :彩色多普勒超声诊断DVT及其后遗症完全可以替代静脉造影 ,为评价DVT疗效的最佳手段。Objective:To evaluate and analyze the superiority and shortcomings of color duplex flow imaging (CDFI) for DVT diagnosis using date of our hospital in the recent 10 years retrospectively.Methods:There were 531 patients in our study.All the cases were diagnosed by CDFI and treated in our hospital,including 6 patients who were diagnosed by venography as control group.Results:Five hundred and twenty_six patients with 571 pieces of lower limbs were confirmedly diagnosed as DVT.Three patients with 3 pieces of lower limbs had phlegmasia caerulea doleus.Five patients with 5 pieces of lower limbs were confirmedly diagnosed as sequelae of DVT.Most patients who underwent conservative treatment and individual necessary operation had good effects,which proved the diagnostic accuracy of CDFI.Conclusions:CDFI can completely replace the venography in the diagnosis of DVT and it's sequelae.

关 键 词：深静脉血栓形成 彩色多普勒 诊断 疗效观察 统计学分析 

分 类 号：R543.604[医药卫生—心血管疾病]