彩色多普勒超声诊断小腿静脉血栓的价值

Color Doppler ultrasound of calf venous thrombosis

目的:评价彩色多普勒超声在小腿静脉血栓诊断中的应用价值。方法:回顾性分析经静脉血管造影或临床系统溶栓治疗后随访观察证实的285例小腿静脉血栓患者的超声声像图表现。结果:285例小腿静脉血栓患者中,单侧266例,双侧19例。小腿静脉血栓的好发部位依次为肌间静脉、胫后静脉、腓静脉及胫前静脉。结论:彩色多普勒超声诊断小腿静脉血栓具有特异表现,而且安全可靠,能动态观察临床治疗效果,可作为诊断小腿静脉血栓的首选影像学检查方法。

Objective:To evaluate the value of color Doppler ultrasound in diagnosis of calf venous thrombosis. Methods:Ultrasonographic features of 285 cases with calf venous thrombosis confirmed by intravenous angiography or follow-up outcomes of anticoagulant therapy were analyzed retrospectively. Results:Among the cases with calf venous thrombosis, 166 were unilateral and 19 were bilateral. The common sites were calf muscular vein, posterior tibial vein, fibular vein and anterior tibial vein in sequence. Conclusion:Color Doppler ultrasound is clear, direct-viewing and safe. It could provide accurately anatomic changes in calf venous thrombosis. It may be used as the first-line imaging modality in the diagnosis of calf venous thrombosis.