彩色多谱勒在下肢静脉疾病中诊断的价值

The Value of Colour Doppler Diagnosing Illness of Lower Extremity Veins

目的:探讨二维及彩色多谱勒超声检查对下肢静脉血栓疾病的诊断价值。材料与方法:应用二维及彩色多谱勒超声对189例疑似下肢静脉疾病的患者进行检查,观察管径、血管腔内回声情况(有无血栓、范围、回声特征)、血流及频谱变化。结果:189例疑下肢静脉疾病患者经彩色多谱勒检查,有143例为下肢急、慢性血栓患者,占75%,静脉瓣功能不全者45例,占24%,急、慢性血栓和静脉瓣功能不全(指原发性)在二维和彩色多谱勒超声上有明显不同表现。结论:彩色多谱勒超声检查不仅可诊断下肢静脉疾病,还可动态观察疾病变化及判断治疗效果。故彩色多谱勒对下肢静脉疾病的早期诊断和疗效判断有及其重要意义。

Purpsse： To explore the value of two- dimensional spectrum and Colour Doppler diagnosing. Materials and Methods： Using two - dimensional spectrum and eolour doppler diagnosed 189 eases of possible patients, observing dimension of vessels, lumen of blood vessel （to see if there＇ re any thrombus, sphere, echo features） blood flowing and spectrum changes. Results： Being checked by coour dopper with possible patients of 189 eases, 143 eases were found with acute and chronic thrombus in lower extremity, which occupies 75% ; the incompetence of venous valve 56 cases, which occupies 35%. Acute and chronie thrombus and the incompetence of venous valve presents obviously different. Conclusion： Using eolour doppler can not only diagnose illness of lower extremity, but also observe dynamic trends and judge the effect of treatment, to conclude, using eolour doppler to give illness of lower extremity and initial diagnosis and iudgment of treatment effect is of great importance.