彩色多普勒超声在小腿肌间静脉血栓诊治中的临床应用价值

Clinical value of color Doppler ultrasound in the diagnosis and treatment of calf intermuscular venous thrombosis

目的:研究彩色多普勒超声在小腿肌间静脉血栓诊断及治疗中的临床应用价值。方法:回顾198例小腿肌间静脉血栓患者溶栓前后小腿肌间静脉管腔的内径、管壁情况及管腔内血栓的位置、大小、形态、回声、周围血流等彩色多普勒超声检测结果,并对确诊率、漏诊率、错诊率、溶栓效果进行总结分析。结果:患者数量198例,186例采用彩色多普勒超声确诊,7例漏诊,5例误诊。接受溶栓治疗7天后复查彩色多普勒超声,血栓全通者107例;15天后复查彩色多普勒超声,血栓全通者130例;30天后复查,全通者146例;60天后复查,全通者169例;90天后复查,全通者183例。余15例未通。结论:彩色多普勒超声对于小腿肌间静脉血栓检测效果良好,能为临床提供可靠影像学依据,有效帮助临床对其进行诊断,并能准确显示治疗效果,为临床大夫调整治疗方案作参考,且经济简便无创,可作为小腿肌间静脉血栓的首选检测方法,具有较高的临床应用价值。

Objective:To study the clinical value of color Doppler ultrasound in diagnosis and treatment of calf intermuscular venous thrombosis.Methods:The results of color Doppler ultrasonography before and after thrombolysis in 198 cases of calf intermuscular venous thrombosis were retrospectively analyzed,including the diameter,wall of the intermuscular vein and the location,size,shape,echo and surrounding blood flow of the venous thrombus in the calf.The diagnosis rate,missed diagnosis rate,misdiagnosis rate and thrombolytic effect were summarized and analyzed.Results:Among 198 cases,186 cases were diagnosed by color Doppler ultrasound,7 were missed,and 5 were misdiagnosed.The patients were reexamined by color Doppler ultrasound,and the veins were completely recanalized in 107 cases after 7 days of thrombolysis,130 cases after 15 days,146 cases after 30 days,169 cases after 60 days and 183 cases after 90 days.The remaining 15 cases were not recanalized.Conclusion:Color Doppler ultrasound has a good effect on the detection of calf intermuscular venous thrombosis,can provide reliable imaging evidence for clinical diagnosis,and can effectively help clinical diagnosis,and can accurately display therapeutic effect,and can be used as a reference for clinical doctors to adjust treatment plans,and it is simple and economical,non-invasive.It has high clinical application value as the first choice method for detecting calf intermuscular venous thrombosis.