Postoperative color Doppler ultrasound diagnosis of 39 cases of deep vein thrombosis.doc

 PAGE \* MERGEFORMAT 7 Postoperative color Doppler ultrasound diagnosis of 39 cases of deep vein thrombosis By January 2007 ~ July 2010 after 39 cases of hospital deep vein thrombosis case analysis, summary of color Doppler ultrasound diagnosis of lower extremity deep venous thrombosis of clinical value. 1 Materials and Methods The group of 39 cases, 25 males and 14 females, aged 45 to 85 years, mean age 62.5 years. Which 30 patients undergoing orthopedic surgery, abdominal surgery in 7 cases, 2 cases with varicose vein surgery. 1 ~ 4.5 hours operation time is not and so on, an average of 2.5 hours. preoperative cardiovascular disease in 9 cases, 5 cases of diabetes, lower extremity venous insufficiency in 5 cases, 5 cases of hyperlipidemia. Patients have varying degrees of lower limb pain and swelling, time of onset of postoperative 2 days to 30 days. All cases were confirmed by X ray venography. Japan’s SSD-580 using color Doppler ultrasonic diagnostic apparatus, the probe frequency of 6 ~ 11MHz, supine position, hip and knee slight external rotation, flexion, the first cross-section of the probe placed in the groin showed femoral artery and vein ( including venous and arterial home, confirmed after the femoral vein into femoral vein longitudinal section shows, the external iliac vein up to the remote observation, checking down to the deep femoral, superficial vein and the vein, the anterior tibial posterior tibial vein, a small calf muscle vein, check with quiet breathing and lack of movement’s combination of applications and remote test probe pressure test with the crush of color Doppler signal that the overall understanding of venous flow is smooth and venous valvular situation. no symptoms and signs Also check the other side of the body. 2 Results Ultrasound detected 39 cases of deep vein thrombosis were 42 limbs. One single in the left lower extremity deep vein thrombosis in 27 cases, 64.3% single in the right lower limb in 12 cases, 2