超声在诊断股浅静脉远心段血栓侧支循环的价值.docVIP

精品论文 参考文献 超声在诊断股浅静脉远心段血栓侧支循环的价值 贵州省余庆县人民医院 影像科 564400 【摘 要】目的：分析超声在诊断股浅静脉远心段血栓侧支循环的价值。方法：选取2015年3月-2016年6月收治的60例下肢深静脉血栓患者临床资料，将其设为对照组和观察组给予检查，行CT造影和多普勒超声诊断，观察比较两组诊断结果及病情特点。结果：观察组下肢静脉血栓确诊率91.67%，较对照组确诊率68.33%高（P＜0.05）；观察组中股浅血栓中慢性、亚急性近心端侧支循环发生率37.51%、52.94%均低于远心端的75.01%、85.24%（P＜0.05）；急性期两端侧支循环发生率则无较大差异（P＞0.05）。结论：采用超声检查股浅静脉血栓可快速诊断远心段侧支循环，为临床治疗提供有效数据参考，具影像科应用价值。 【关键词】超声；股浅静脉远心段血栓；侧支循环 [Abstract] Objective：to analyze the ultrasound in the diagnosis of superficial femoral vein thrombosis distal segment the value of the collateral circulation. Methods：March 2015 -2016 year in June 60 cases of lower extremity deep venous thrombosis in patients with clinical data，set the control group and the observation group received the check，CT angiography and Doppler ultrasound diagnosis，diagnostic results two observation group and disease characteristics. Results：in the observation group，lower extremity venous thrombosis diagnosis rate was 91.67%，compared with the control group，the diagnosis rate was 68.33% higher（P lt; 0.05）；observation group in chronic superficial femoral thrombosis，subacute proximal collateral circulation occurred in 37.51%，52.94% The distal end were lower than 75.01%，85.24%（P lt; 0.05）；the acute phase ends collateral rate had no significant difference（P gt; 0.05）. Conclusion：The ultrasonography of superficial femoral vein thrombosis can be rapid diagnosis of distal segment of collateral circulation，to provide effective reference data for clinical treatment，with the image of the application value. [Key words] ultrasound；distal femoral vein thrombosis；collateral circulation 下肢深静脉血栓是临床较常见的血管性疾病之一，是指深静脉血液受阻无法正常凝结后致使管腔阻塞，进而导致静脉回流性障碍疾病。静脉血栓易引发下肢水肿、皮炎、瘀滞溃疡以及色素沉着多种并发症，其中股浅血栓可发生侧支循环，因此早期病情诊断对预防和抑制并发症发生有积极意义，常见方法有CT造影和超声检查[1]。本研究现就超声在静脉血栓患者诊断中取得的检查结果做有效分析，并报告如下。 1.资料与方法 1.1 临床资料 选取2015年3月-2016年6月收治的60例下肢深静脉血栓患者临床资料，检查前均取得医院医学伦理委员同意和患者执行同意书。患者男女比例35：15，年龄25-78岁，平均（51.55plusmn;4.79）岁；病程7d-61d，平均（34.57plusmn;3.68）d；病史情况：肢体骨折23例、肺栓塞17例、