摘要
目的:探讨D-二聚体检测在骨折患者下肢深静脉血栓中的诊断价值。方法:将86例无下肢深静脉血栓患者、41例下肢深静脉血栓患者作为对照组与观察组,分别对两组患者开展下肢静脉超声检查、Wells评分与D-二聚体检测,评估其临床诊断价值。结果:两组患者的D-二聚体水平、D-二聚体峰值分布及D-二聚体到达峰值时间比较,差异具有统计学意义(P <0. 05)。D-二聚体检测与彩色多普勒超声、Wells评分的诊断一致性较好。不同骨折类型、不同疾病分期与血栓位置患者的D-二聚体水平差异显著。结论:临床检测骨折患者的D-二聚体水平有助于诊断其下肢深静脉血栓情况。
Objective To analysis the diagnostic value of D-dimer of lower extremity deep venous thrombosis in patients with fracture.Method 86 patients without lower extremity deep venous thrombosis were taken as control group,and 41 patients with lower extremity deep venous thrombosis were taken as observation group.The ultrasonic examination of lower limb vein,Wells score and D-dimer were carried out in two groups,respectively.Evaluation of clinical diagnostic value.Results The difference of D-dimer,peak distribution of D-dimer and time to peak of D-dimer had statistical significance of two groups(P<0.05).The consistency of D-dimer with ultrasonic examination of lower limb vein and Wells score was better.The difference of D-dimer level in different types,different stages and position of thrombus of patients with fracture had statistically significant.Conclusion It is helpful to diagnose the lower extremity deep venous thrombosis in patients with fracture by detecting the D-dimer.
作者
李海华
姚雪玉
伍瑞忠
LI Hai-hua;YAO Xue-yu;WU Rui-zhong(Department of orthopedics,Xing'an Jieshou Hospital of integrated traditional Chinese and Western medicine,Guilin 541306,China)
出处
《吉林医学》
CAS
2019年第1期36-38,共3页
Jilin Medical Journal
关键词
骨折
下肢深静脉血栓
D-二聚体
Fracture
Lower extremity deep venous thrombosis
D-dimer
