无创心血管超声诊断深静脉血栓与肺动脉栓塞的准确性研究  

Accuracy of noninvasive cardiovascular ultrasound in diagnosing deep vein thrombosis and pulmonary embolism

作　　者：刘巍[1] 石玫玫 魏丽 闫艳[1] 司彩凤[1] LIU Wei;SHI Meimei;WEI Li(The Second Central Hospital of Baoding City,Hebei,Baoding 072750,China;不详)

机构地区：[1]河北省保定市第二中心医院,072750 [2]唐山海港经济开发区医院

出　　处：《河北医药》2021年第7期1030-1032,1036,共4页Hebei Medical Journal

基　　金：保定市科学技术研究与发展指导计划项目(编号:1951ZF028)。

摘　　要：目的研究无创心血管超声诊断深静脉血栓与肺动脉栓塞准确性,总结临床治疗经验为后续的诊断及治疗奠定理论基础。方法选择2014年1月至2019年1月收治的46例临床综合诊断为深静脉血栓与肺动脉栓塞患者的资料,分析患者心血管超声测量结果、静脉血栓分布以及检测结果准确率等。结果右心房上下径正常6例(13.04%),异常12例(26.09%);右心房左右径正常7例(15.22%),异常21例(45.65%);右心室左右径正常24例(52.17%),异常22例(47.83%);主肺动脉内径正常4例(8.70%),异常17例(36.96%);右肺动脉内径正常5例(10.87%),异常20例(43.48%)。检查后分析患者静脉血栓分布情况,股总伴髂外静脉血栓5例(10.87%);大隐静脉血栓6例(13.04%);股浅静脉血栓3例(6.52%);胫后静脉7例(15.22%);腓静脉血栓10例(21.74%);肌间静脉血栓15例(32.61%)。分析37例肺动脉栓塞患者三尖瓣反流速度及肺动脉收缩压结果,按照三尖瓣反流的严重程度分为中轻度患者30例,重度患者7例。中轻度患者三尖瓣反流速度及肺动脉收缩压结果均显著低于重度患者,差异有统计学意义(P<0.05)。患者深静脉血栓检出46例,检出率100%,肺动脉栓塞检出37例,检出率80.43%。结论无创心血管超声诊断深静脉血栓与肺动脉栓塞准确性较高,可以进行推广应用。Objective To investigate the accuracy of noninvasive cardiovascular ultrasound in diagnosing deep vein thrombosis(DVT)and pulmonary embolism(PE),so as to provide the theoretical foundation for subsequent diagnosis and treatment.Methods The clinical data about 46 patients with DVT and PE who were admitted and treated in our hospital from January 2014 to January 2019 were retrospectively analyzed.Moreover the results of cardiovascular ultrasound measurement,distribution of venous thrombosis and the accuracy of examination results were analyzed.Results Of the patients 6 cases had normal upper and lower diameter of right atrium,accounting for 13.04%,and 12 cases had abnormal diameter,accounting for 26.09%.There were 7 cases with normal right atrium diameter(15.22%)and 21 cases with abnormal right atrium diameter(45.65%).There were 24 cases with normal right ventricular diameter(52.17%)and 22 cases with abnormal ventricular diameter(47.83%).And 4 cases had normal diameter of main pulmonary artery,accounting for 8.70%,and 17 cases had abnormal diameter,accounting for 36.96%.Moreover 5 cases had normal right pulmonary artery diameter,accounting for 10.87%,and 20 cases had abnormal diameter,accounting for 43.48%.There were 5 cases with femoral external iliac vein thrombosis,accounting for 10.87%,and there were 6 cases of great saphenous vein thrombosis,accounting for 13.04%.There were 3 cases of superficial femoral vein thrombosis,accounting for 6.52%,and there were 7 cases of posterior tibial vein,accounting for 15.22%.There were 10 cases of peroneal vein thrombosis,accounting for 21.74%and there were 15 cases of intermuscular vein thrombosis,accounting for 32.61%.The results of tricuspid regurgitation velocity and pulmonary artery systolic pressure in moderate and mild patients were significantly lower than those in severe patients(P<0.05).In addition 46 cases of deep vein thrombosis were detected,with the detection rate being 100%,and 37 cases of pulmonary embolism were detected,with the detection rate being 80.43%.Co

关 键 词：无创心血管超声 深静脉血栓 肺动脉栓塞 准确性 研究 

分 类 号：R445.1[医药卫生—影像医学与核医学]