下肢骨折术后下肢静脉血栓的彩色多普勒超声特点分析.docVIP

精品论文 参考文献 下肢骨折术后下肢静脉血栓的彩色多普勒超声特点分析 赵春燕 钟雅蓉 张茜 　　（四川省雅安市中医医院超声科 四川 雅安 625000） 　　【摘 要】目的：研究下肢骨折术后下肢静脉血栓（Lower limb vein thrombus，LLVT）的彩色多普勒超声（Color Doppler，CD）特点；方法：选择2013年3月——2014年12月我院收治的下肢骨折术后疑似LLVT患者186例，行CD检查，于24h内行静脉造影检查，以静脉造影检查为金标准，比较CD检查结果；结果：CD检查与静脉造影检查结果比较，无统计学差异（卡方值（校正）=0.0625,P=0.8026）。CD检查的灵敏度为95.54%，特异度为68.97%，准确度为91.40%。亚急性血栓回声显著增强，探头加压不能压瘪静脉管腔，彩色多普勒显示血栓再通部分存在无规则细小分支性血流；急性血栓呈现实质性低回声，探头加压静脉管腔略有变形，彩色多普勒显示血栓部位静脉存在少量或无血???信号。慢性血栓呈实质性强回声，彩色多普勒显示管腔内充满或部分血流信号；结论：CD诊断下肢骨折术后LLVT具有显著的特点，值得临床应用。 　　【关键词】下肢骨折术后；下肢静脉血栓；彩色多普勒超声；特点 　　【中图分类号】R714.62+5 【文献标识码】B 【文章编号】1003-5028（2015）8-0646-02 　　Analysis for the Characteristic of Color Doppler of Lower Limb Vein Thrombus after Lower Limb Fracture Surgery 　　【Abstract】Object：To study the characteristic of Color Doppler (CD) of Lower limb vein thrombus (LLVT) after lower limb fracture surgery; Method：186 patients, admitted in this hospital from April 2014 to March 2015 for suspected LLVT, were examined with CD and Phlebography within 24hrs and take the results of Phlebography as the golden standard to compare the results of CD; Result：There was no significant difference between the CD and Phlebography (chi-square value (corrected value)=0.0625; P=0.8026). The sensitivity, specificity, and accuracy of CD were 95.54%, 68.97%, and 91.40% respectively. Echoes of sub-acute thrombus was enhanced significantly, forcing probe could not squashed veins, and CD shown that there was random small branch blood flow in recanalization of thrombus; acute thrombus shown low-echo, forcing probe made veins be deformed slightly, and the veins of thrombus had a few or without flood flow signal in CD. Chronic thrombus was shown low-echo and there were full or part of flood flow signals in CD; Conclusion：The CD exhibits a remarkable characteristic for diagnosing LLVT after lower limb fracture surgery and is well worth clinic application. 　　【Key words】Lower Limb Fracture Surgery; Lower Limb Vein Thrombus; Color Doppler; Characteristic