高频超声诊断孤立性小腿肌间静脉血栓的价值-论文.pdf

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1、·24·生坐医堂超重苤查(鱼年9月篁鲞箜期ChinJMedUltrasound(ElectronicEdition)，September2014，Vo1．I1，No．9·外周血管超声影像学·高频超声诊断孤立性小腿肌间静脉血栓的价值、]殿霞杨青梅康晓妍陈晓燕冯婷华薛继平吕虹康春松【摘要】目的探讨高频超声对孤立性小腿肌间静脉血栓的诊断价值。方法回顾性分析临床确诊的175例(190条)孤立性小腿肌间静脉血栓的声像图特征并与临床随访结果进行对比分析。结果175例(190条)孤立性小腿肌间静脉血栓，高频超声正确诊断158例(173条)，误诊7例(7条)，漏诊10例(10条)，诊断准确率91．1％(1

2、73／190)。误诊7例分别为神经纤维瘤1例，混合型血管瘤1例，腓肠肌血肿5例。所有患者发现后均进行溶栓及抗凝治疗，治疗后1、3、6个月复查彩色多普勒超声，血流部分再通或完全再通，均无小腿深静脉主干蔓延。小腿肌间静脉血栓声像图特征：静脉管腔明显增宽，管腔内低回声充填，长轴呈管状或树枝状，短轴为圆形或椭圆形，适度加压管腔不能被压瘪，管腔内大多无血流信号显示。结论高频彩色多普勒超声可以显示血栓的位置、形态、类型、管腔阻塞情况及血流状态，有助于明确诊断孤立性小腿肌问静脉血栓，同时对治疗效果可以进行动态评估。【关键词】静脉；血栓栓塞；腿；超声检查，多普勒，彩色Theclinicalapplicat

3、edvalueofhigh-frequencyultrasoundinthediagnosisofisolatedcalfmuscleveinthrombosisMenDianxia,馏Qingmei,KangXiaoyan,ChenXiaoyan,Feng77nghua,XueJiping,LyuHong,KangChunsong．DepartmentofUltrasound,ShanxiAcademyofMedicalSciences,ShanxiDayiHospital,Taiyuan030032．ChinaCorrespondingauthor．"KangChunsong,Emai

4、l：kangchunsong2OO5@sina．corn[Abstract]ObjectiveToexploretheclinicalvalueofhigh-frequencycolorDopplerultrasoundinthediagnosisofisolatedcalfmuscleveinthrombosis(ICMVT)．MethodsSonographicfeaturesof175patientswithisolatedcalfmuscularvenousthrombosiswereanalyzedretrospectivelyandoutcomeofanticoagulantt

5、herapyin1，3，and6monthsWaSfollowedup．DiagnosisWaSestablishedwithhigh-frequencycolorDopplerultrasoundexamination．ResultsOnehundredandseventy-fivepatientspresentingwith190calfmuscleveinthrombosiswereincluded．Onehundredandfifty—eightcaSeswith173calfmuscleveinthrombosiswerediagnosedbyhigh-frequencycolo

6、rDopplerultrasound,7caSesofmisdiagnosis，misseddiagnosisin10caSes．TheaccuracyrateWaS91．1％(173／190)．SevencaSesweremisdiagnosedwith1eurofibromatosis，1mixedhemangioma,5gastrocnemiushematoma．AfterdiagnosisofICMVT,allpatientsprescribedthrombolysisandanticoagulationtherapy．High-frequencycolorDopplerultra

7、soundforl，3，6monthsaftertreatmentsrevealedpartialorcompleterecanalizationwithoutcalfdeepveinthrombosis．Typicalsonographicfeaturesincluded：calfmuscleVenOUSlumendilation，tortuousanechoiclumenorhypoechoicfilling．wim