摘要
目的分析超声检查与血浆D-二聚体浓度诊断脑卒中患者下肢静脉血栓形成的价值。方法对95例脑卒中患者行下肢静脉超声检查与血浆D-二聚体浓度测定，判断有无下肢静脉血栓形成。结果D-二聚体和超声检查诊断下肢静脉血栓的敏感性、特异性、阳性预测值、阴性预测值、准确性分别为80．0％、76．2％、38．7％、95．3％、76．8％和86．6％、98．8％、92．8％、97．5％、96．8％。超声诊断的特异性、准确性及阳性预测值高于血浆D-二聚体浓度测定（P〈0．05）。结论血浆D-二聚体浓度可作为临床排除静脉血栓形成的可靠指标，超声检查对于诊断脑卒中患者下肢静脉血栓具有较高的诊断价值。
Objective To evaluate the value of ultrasound and plasma D - dimer in the diagnosis of lower limb venous thrombosis in stroke patients. Methods Ninety - five stroke patients enrolled in the study. Each patient was examined by lower limb venous ultrasound, and the plasma D- dimer was measured. Results The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of plasma D - dimer and ultrasonography were 80%, 76.2 %, 38.7 %, 95.3 %, 76.8 % and 86.6%, 98.8%, 92.8%, 97.5%, 96.8%, respectively. The specificity, positive predictive value and accuracy of ultrasonography were higher than those of plasma D - dimer. Conclusion Plasma D - dimer can be a reliable index to excluding venous thrombosis in clinic, and ultrasonography has high value in the diagnosis of lower limb venous thrombosis in stroke patients.
出处
《临床超声医学杂志》
2009年第3期149-151,共3页
Journal of Clinical Ultrasound in Medicine
基金
上海市重点学科项目(S30203)
