摘要
目的:探讨分析彩色多普勒超声诊断下肢深静脉血栓的临床价值。方法:选取2018年2月~2020年5月收治的48例下肢静脉血栓患者作为研究组,选取同时期健康体检中心无下肢静脉血栓作为对照组,均给予彩色多普勒超声检查,比较下肢静脉血管内径、收缩期峰值流速、舒张末期流速、阻力指数,分析下肢静脉血栓图像特征。结果:研究组CFV、SFV、MGV、PTV血管内径分别为(12.38±1.26)mm、(7.72±1.03)mm、(7.68±1.19)mm、(3.04±0.65)mm,较对照组(8.67±1.24)mm、(5.21±1.00)mm、(3.48±1.20)mm、(2.43±0.54)mm显著变宽,差异具有统计学意义(P<0.05);两组POV血管内径分别为(0.58±0.13)mm、(0.54±0.15)mm,差异无统计学意义(P>0.05);研究组收缩期峰值流速、舒张末期流速分别为(47.11±10.20)cm/s、(9.95±1.54)cm/s,较对照组的(36.29±10.18)cm/s、(7.28±1.49)cm/s,阻力指数为(1.27±0.30)较对照组(2.41±0.28)显著降低,差异均具有统计学意义(P<0.05);彩色多普勒超声诊断急性下肢静脉血栓图像特征:呈现低回声状态,下肢静脉管腔会出现闭塞或者部分闭塞的情况,病变处的管腔加宽,血管内壁光滑。慢性下肢静脉血栓图像特征:呈现不规则形强回声状态,下肢静脉管腔会出现闭塞或者部分闭塞的情况,病变处的管腔缩小,血管内壁毛糙。结论:彩色多普勒超声诊断下肢静脉血栓是可行的,操作简单,无创、重复性好、动态观察、诊断准确性高,并且可有效区分急慢性期,值得在临床上推广。
Objective:To explore the clinical value of color Doppler ultrasound in the diagnosis of deep venous thrombosis of lower extremities;Methods:To select 48 patients with lower extremity venous thrombosis admitted from February 2018 to May 2020 As a control group,color Doppler ultrasound was given to compare the inner diameter of lower extremity venous vessels,peak systolic flow velocity,end diastolic flow velocity,resistance index,and analyze the image characteristics of lower extremity venous thrombosis;Results:study group CFV,SFV,MGV,PTV blood vessels The inner diameters are(12.38±1.26)mm,(7.72±1.03)mm,(7.68±1.19)mm,(3.04±0.65)mm compared to the control group(8.67±1.24)mm,(5.21±1.00)mm,(3.48±1.20)mm,(2.43±0.54)mm widened significantly,the difference was statistically significant(P<0.05),the inner diameter of the POV vessels in the two groups were(0.58±0.13)mm,(0.54±0.15)mm,and the difference was not statistically significant Significance(P>0.05),the peak systolic velocity and end diastolic velocity in the study group were(47.11±10.20)cm/s and(9.95±1.54)cm/s,which were higher than the control group’s(36.29±10.18)cm/s,(7.28±1.49)cm/s,resistance index(1.27±0.30)was significantly lower than the control group(2.41±0.28),the differences were statistically significant(P<0.05);color Doppler ultrasound diagnosis of acute lower extremity venous thrombosis Image features:low echo state,occlusion or partial occlusion of the venous lumen of the lower extremity,widening of the lumen at the lesion,smooth inner wall of the blood vessel,chronic venous thrombosis of the lower extremities The lumen will be occluded or partially occluded,the lumen of the lesion is reduced,and the inner wall of the blood vessel is rough;Conclusion:Color Doppler ultrasound is feasible to diagnose venous thrombosis of the lower extremity,simple operation,non-invasive,good repeatability,dynamic observation,diagnosis The accuracy is high,and it can effectively and effectively distinguish between acute and chronic phases,and it is recomme
作者
蒋开波
王峰
魏东
徐晓霞
JIANG Kaibo;WANG Feng;WEI Dong;XU Xiaoxia(Huizhou Hospital of Traditional Chinese Medicine,Guangdong Huizhou 516000,China)
出处
《包头医学院学报》
CAS
2020年第12期73-75,87,共4页
Journal of Baotou Medical College
关键词
彩色多普勒超声
下肢深静脉血栓
临床诊断价值
color Doppler ultrasound
deep vein thrombosis of lower extremities
clinical diagnostic value
