血管超声技术在偏瘫合并下肢静脉血栓形成诊断中的应用价值分析  

Application Value Analysis of Vascular Ultrasound Technique in Diagnosis of Hemiplegia Complicated with Lower Extremity Venous Thrombosis

作　　者：张珊珊 ZHANG Shanshan(Department of Ultrasound,Dong’a County People’s Hospital,Liaocheng 252000,China)

机构地区：[1]山东省东阿县人民医院综合超声科,山东聊城252000

出　　处：《中国伤残医学》2025年第7期104-106,114,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨血管超声技术在偏瘫合并下肢静脉血栓(DVT)形成诊断中的临床应用价值。方法:回顾性分析2022年1月—2024年12月东阿县人民医院就诊的60例偏瘫合并DVT患者资料,并将其归为研究组,收集分析同期招募的60例偏瘫且无下肢静脉血栓患者资料,将其归为对照组。两组均接受彩色多普勒超声检查(CDUS)。以临床综合诊断结果作为金标准,通过比较CDUS诊断结果与金标准的一致性,评估血管超声技术的诊断效能,并比较两组下肢静脉内径。结果:血管超声技术的诊断灵敏度为96.61%(57/59)、特异度为95.08%(58/61)、准确度为95.83%(115/120)、阳性预测值为95.00%(57/60)、阴性预测值为96.67%(58/60);Kappa值为0.917,表明与临床诊断结果的诊断一致性高。研究组双侧股总静脉、股浅静脉、股深静脉、腘静脉、内侧腓肠静脉、胫后静脉近段的下肢静脉内径均大于对照组,差异均有统计学意义(P<0.05)。结论:血管超声技术在偏瘫合并DVT的诊断中具有较高的灵敏度和特异度,能够有效辅助临床进行早期诊断决策。同时,下肢静脉内径值的增大可作为DVT的辅助诊断指标。Objective:To investigate the clinical value of vascular ultrasound technology in the diagnosis of hemiplegia combined with lower extremity venous thrombosis(DVT).Methods:Data of 60 patients with hemiplegia combined with DVT treated in Dong’a County People’s Hospital from January 2022 to December 2024 were retrospectively analyzed and classified as the study group.Data of 60 patients with hemiplegia but no lower extremity venous thrombosis recruited during the same period were collected and analyzed and classified as the control group.Both groups underwent color Doppler ultrasonography(CDUS).Using the comprehensive clinical diagnosis results as the gold standard,the diagnostic efficiency of vascular ultrasound technology was evaluated by comparing the consistency of CDUS diagnosis results with the gold standard,and the internal diameter of deep venous in the two groups were compared.Results:The diagnostic sensitivity,specificity,accuracy,positive predictive value and negative predictive value were 96.61%(57/59),95.08%(58/61),95.83%(115/120),95.00%(57/60),96.67%(58/60)respectively.The Kappa value was 0.917,indicating a high diagnostic consistency with clinical diagnosis.The Internal diameter of deep venous of common femoral vein,superficial femoral vein,deep femoral vein,popliteal vein,medial gastrocuemius vein and posterior tibial vein in the study group were greater than those of the control group,with statistical significance(P<0.05).Conclusion:Vascular ultrasound technique has high sensitivity and specificity in the diagnosis of hemiplegia combined with DVT,and can effectively assist clinical decision-making in early diagnosis.At the same time,the increase of Internal diameter of deep venous can be used as an auxiliary diagnostic index of DVT.

关 键 词：偏瘫 下肢静脉血栓形成 血管超声技术 诊断准确性 下肢静脉内径值 

分 类 号：R687.4[医药卫生—骨科学]