下肢深静脉联合腹部大血管彩超诊断深静脉血栓的价值.pdfVIP

昆明医科大学学报 2012 ，（8 ）：88 91 CN 53 - 1049 R Journal of Kunming Medical University 下肢深静脉联合腹部大血管彩超诊断深静脉血栓的价值 锐，邢豫宾，程 映，余 非，袁 惠，王 丹 昆明医科大学第一附属医院超声科，云南昆明 650032） ］ （ ［摘要 目的 探讨下肢深静脉联合腹部大血管的彩色超声诊断深静脉血栓 DVT）及其病因的临床价值． 方法 对85 例有症状的下肢DVT 患者行下肢深静脉的彩超检查，其中68 例血栓累及股静脉的患者同时逆行扫 查髂静脉及下腔静脉．结果 85 例下肢DVT 患者急性期51 例，亚急性期和慢性期34 例，管腔内实性回声、探 头加压管腔不被压瘪或消失，CDFI 示血流充盈缺损或消失，PW 未引出血流频谱或频谱波形不正常是DVT 的特 征性表现．腹部大血管扫查发现髂静脉和/ 或下腔静脉内的血栓、瘤栓形成、左侧髂静脉受压综合征、髂静脉炎 性粘连等是导致下肢DVT 的病因．结论 彩色超声对下肢DVT 的诊断明确，联合髂静脉、下腔静脉及周围组织 的扫查可提高DVT 病因的检出率，对制定临床治疗方案有指导意义． ］ ；下肢深静脉血栓；腹部；髂静脉；下腔静脉 ［关键词 彩色多普勒超声 ［中图分类号］ R445.1 ［文献标识码］A ［文章编号］1003 －4706 （20 12）08 －0088 －04 Diagnostic Value of Ultrasonography with Deep Veins of Lower Limb and Abdominal Veins for Deep Vein Thrombosis BU Rui ，XING Yu －bin ，CHENG Ying ，YU Fei ，YUAN Hui ，WANG Dan （De pt. of Ultrasound ，The 1st A ffiliated Hos pital of Kunming Medical Univ ersity ， Kunming Y unnan 650032 ，China） Abstract］Objective To discuss the clinical value of ultrasonography with deep veins of the lower limbs and abdominal veins for deep vein thrombosis （DVT ）. Methods Eighty-five patients with symptomatic DVT were examined deep veins of the lower limbs by color Doppler flowing image （CDFI ）．Among them ，68 patients involved in thrombosis located in femoral veins were retrograded scanning of the iliac veins and inferior vena cava （IVC ）． Results Among 85 cases of DVT in the lower limbs ，there were 51 cases in acute stage ，34 cases in sub-acute and chronic stages．The ultrasonic features of DVT in the lower limbs were solid echo in the vascular lumen ，loss of compres