小腿静脉血栓的影像学诊断.pdfVIP

DOI :10.13929/j .1003 -3289.2004.07.034 · 1064 · 中国医学影像技术 2004 年第 20 卷第 7 期 　Chin J Med Imaging Technol,2004 , Vol 20 , No 7 Imaging diagnosis of deep venous thrombosis in the calf ZHANG Xiao-rong , HE Wen , TANG Hua , LIANG Xiao-ning , XU Li-qun , DAI Ke-ding , GAO Kun (Department of Ultrasonography , Chaoyang Hospital , Capital University of Medical Sciences, Beijing 100020 , China) [ Abstract] 　Objective 　To discuss the diagnostic value of color Doppler ultrasound (CDUS)and venography in deep venous thrombosis of isolated calf veins.Methods　From Jan.2001 to Jan.2004 , 219 cases of isolated venous thrombosis in the calf were diagnosed by CDUS, 18 cases performed venography .Results　One hundred and fifty-two cases of stale thrombosis and 67 cases fresh thrombosis were found by CDUS .Compared with venography , CDUS showed a sensitivity of 87.5 % in posterior tibial vein and 90.9 % in peroneal vein, a specificity of 100% and 100%, respectively .The incidence of thrombosis in calf vein in one leg was higher than that in both legs.The distributed or- der of thrombosis in calf vein was peroneal vein (28%) posterior tibial vein (23 .0%) muscular vein(15.1 %) muscular vein + peroneal vein (14.6 %).Conclusion 　CDUS showed a high sensitivity and specificity in peroneal vein and posterior tibial vein.It can be used to detect the patterns and distribution of thrombosis in calf veins.Venography could detect the thrombosis in posterior tibial veins , per- oneal veins and anterior tibial veins, but it is limited to detect the soleal and gastrocnemius venous thrombosis . [ Key words] 　Color Doppler ultrasonography ;Venography ;Venous thrombosis;Calf 小腿静脉血栓的影像学诊断 张晓蓉1 , 何 　文1 , 唐 　华