彩色多普勒超声与数字减影血管造影评价不同节段下肢深静脉血栓的诊断价值

Comparison of color doppler ultrasound and digital subtraction angiography in the diagnosis of lower extremity deep venous thrombosis

目的评价彩色多普勒超声与数字减影血管造影对不同节段下肢深静脉血栓的诊断价值。方法回顾分析2015年4月至2016年4月在我院诊治的48例下肢深静脉血栓患者临床资料,均进行彩色多普勒超声与数字减影血管造影(DSA)检查,对比分析不同阶段下肢静脉血栓的检出率。结果 48例患者共检测出124条不同节段静脉血栓,其中急性、亚急性期静脉血栓17例,慢性期静脉血栓31例;混合型28例,周围型16例,中央型4例;不同阶段下肢深静脉血栓诊断灵敏性不同。结论彩色多普勒超声诊断静脉血栓准确率较高,并且对不同节段静脉血栓有不同的诊断价值,值得在临床推广和应用。

Objective To evaluate the diagnostic value of color doppler ultrasonic angiography with digital subtraction angiography for different segments lower extremity deep vein thrombosis. Methods The clinical date of 48 cases with lower extremity deep vein thrombosis from April 2015 to April 2016 in our hospital was retrospective analyzed, all the patients received color doppler ultrasound angiography and digital subtraction angiography inspection, different stages of lower limb venous thrombosis detection rate was compared. Results Forty-eight cases were detected of 124 different segmental vein thrombosis, including the acute, subacute venous thrombosis of 17 cases, 31 cases of chronic venous thrombosis, and hybrid 28 cases, peripheral 16 cases, central type 4 cases. There was difference in lower extremity deep vein thrombosis sensitivity. Conclusion The color doppler ultrasound diagnosis of venous thrombosis has higher accuracy, and different diagnosis value to different segmental vein thrombosis, which is worth popularizing in clinical application.