术后导致下肢深静脉血栓彩色多普勒超声显像的探讨

Postoperative Result in Lower Limb Deep Vein Thrombosis of Color Doppler Ultrasonography

目的：探讨术后导致下肢深静脉血栓彩色多普勒超声显像的特点。材料与方法：对我院2010年2月～2013年7月骨科及妇产科检查并经手术或x线静脉造影证实的29例DVT患者做二维超声（2DUS）及彩色多普勒血流显像（CDFI）检查。结果：29例患者35条下肢DVT中，DVT以生于手术侧肢体的共17例，发生远端血栓（只局限于小腿远端）6例，近端血栓（仅累及静脉以上）10例，全静脉血栓（远近端均累及）13例。结论：CDFI能充分了解血管内外的解剖学改变，可早期、无创地诊断静脉血栓，动态观察血栓变化，对指导临床治疗用药，及时观察疗效具有重要价值。

Purpose： Explore postoperative result in lower limb deep vein thrombosis characteristics of color doppler ultrasound imaging. Materials and Methods： In our hospital from February 2010 to July 2013 orthopaedic and maternity check and confirmed by surgery or X-ray vein angiography of 29 patients with DVT were doing two-dimensional ultrasonography （2 dus） （ of a CDFI） and color doppler flow imaging examination. Results ： 29 cases of 35 patients with lower limb DVT, DVT with born in operation side body, a total of 17 cases, occur distal thrombosis （only limited to the distal leg） 6 eases, proximal thrombosis （involving venous above） only 10 eases, all enous thromboembolism （both near and far end involve- ment）, 13 eases. Conclusion： Inside and outside of a CDFI can fully understand the vascular anatomy of the change, can early, noninvasive diagnosis of venous thrombosis, dynamic observation of blood clots, to guide the clinical treatment, obser- vation curative effect has important value in time.