摘要
目的探讨彩色多普勒超声(彩超)诊断孤立性小腿肌间静脉血栓的临床价值。方法回顾性分析248例彩超诊断为孤立性小腿肌间静脉血栓患者,根据血栓部位不同分为比目鱼肌组141例,腓肠肌组107例。比较2组静脉血栓的性质、长度及静脉平均宽度。持续抗凝治疗6周,超声监测再通率。结果 2组静脉血栓的性质未见差别(P>0.05)。比目鱼肌组与腓肠肌组相比,血栓长度较长(2.3±0.8)cm与(1.6±0.5)cm(P<0.05);且静脉平均宽度也较长(6.8±2.3)mm与(5.7±1.9)mm(P<0.05);抗凝治疗6周后,比目鱼肌组再通率较低,为7.81%与11.67%(P<0.05)。结论彩超诊断孤立性小腿肌间静脉血栓比目鱼肌静脉血栓较腓肠肌静脉血栓严重,应高度重视。
Objective To analyze the clinical value of color doppler ultrasound in the diagnosis of isolated calf muscular venous thrombosis （ICMVT）. Methods A total of 248 patients with ICMVT diagnosed by color doppler ultrasound were retrospectively analyzed and divided into two groups, soleal vein group （141 patients） and gastrocnemial vein group （107 patients）. The character,length and mean venous width of ICMVT were compared between two groups. After 6 weeks anticoagulant therapy, the rate of recanalization was measured by color doppler ultrasound. Results The character of ICMVT had no difference between two groups. Compared to gastrocnemial vein group, the length and mean venous width were longer in soleal vein group, （2.3± 0.8 ） cm versus （ 1.6±0.5 ） cm （P 〈 0.05 ）, （6.8 ± 2. 3 ）mm versus （5.7 ±1.9 ）mm （ P 〈 0.05 ）, respectively. The rate of recanalization in soleal vein group was lower than in gastrocnemial vein group, 7.81% versus 11. 57% （ P 〈 0.05 ）. Conclusion The soleal vein thrombosis of ICMVT by color doppler ultrasound was more serious than gastrocnemial vein thrombosis and should be paid more attention.
出处
《河北医科大学学报》
CAS
2011年第9期1045-1047,共3页
Journal of Hebei Medical University
关键词
静脉血栓形成
超声检查
多普勒
彩色
诊断
venous thrombosis
ultrasonography, Doppler, color
diganosis
