创伤后急性下肢深静脉血栓超声分型及临床意义

Ultrasonic Classification and Clinical Significance of Acute Deep Venous Thrombosis after Trauma

目的:对比观察创伤后急性栓头型下肢深静脉血栓与普通型下肢深静脉血栓的超声及临床特征,探讨两组血栓的异同。材料和方法:选取创伤后急性下肢深静脉血栓(DVT)患者103例,根据超声声像特点是否具有高回声栓头,分为栓头型组(22例)与普通型组(81例),比较两组血栓的超声及临床特征。结果:两组血栓的临床表现、受伤时间及溶栓结果比较差异无统计学意义(P>0.05);而两组血栓的形态、发生部位、受累静脉情况分析差异均有统计学意义(P<0.05)。结论:超声能够较好地对创伤后急性期DVT做出诊断及鉴别诊断;栓头型DVT是种特殊的急性DVT,其超声征象为急性DVT的临床诊断及治疗补充了重要的参考信息。

Purpose To study the clinical manifestations and ultrasound characteristics of lower extremity deep venous thrombosis in the acute phase head-thrombus type and ordinary type.Materials and Methods 103 post-trauma patients with acute venous thrombosis at lower extremities were divided into head-thrombus group（22 cases） and ordinary group（81 cases） according to whether the thrombosis head with a high echo.Results The clinical procedure、injury time and treatment results of the two groups have no significant statistical differences（P 0.05）;while the thrombosis shape、location、involved vein diameter and the vein wall all have statistically significant difference（P0.05）.Conclusion Ultrasound could make the differential diagnosis of acute DVT.Ultrasonic signs of head-thrombus type added important information to clinical diagnosis and treatment of acute DVT.