肿瘤患者下肢肿胀原因的超声诊断价值

Diagnostic value of ultrasound in diagnosis of cause of leg swelling in patients with tumor

目的:探讨彩色多普勒超声在肿瘤患者下肢肿胀原因诊断的应用价值。方法:回顾性分析2012年6月~2015年1月因下肢肿胀进行超声检查的86例肿瘤患者,对其二维声像图及彩色多普勒结果进行总结和分析。结果:彩色多普勒超声结果显示,肿瘤引起下肢肿胀各种原因的超声图像表现特征明显;根据超声图像特征发现,引起下肢肿胀的主要原因中,静脉性水肿65例,占75.58%;淋巴性水肿9例,占10.46%;超声未发现异常12例,占13.95%。结论:彩色多普勒超声对下肢肿胀原因的诊断价值较高,可以作为肿瘤患者下肢肿胀的首选检查方式。

Objective To investigate the diagnostic value of color Doppler ultrasound in diagnosis of cause of leg swelling in patients with tumor. Methods Retrospective analysis was taken from June 2012 to January 2015 for the Ultrasonography of 86 cases of patients with lower limb swelling,it is summary and analysis of two-dimensional sonographic features and color Doppler exa mination results. Results In 86 cases of patients,65 cases of venous leg swelling ,accounting for 75.58%,include 43 cases of deep vein thrombosis,10 cases of compression of vein,10 cases of vein invasion,1 case of lower extremities and thrombosis,1 case of venous insufficiency of lower extremities; lymphatic swelling 9 cases10.46%);12 patients were normal by ultrasound exa mination. Conclusion Color Doppler ultrasound is a very useful method in the diagnosis of cause of leg swelling, it is the first method for diagnosis of leg swelling in patients with tumor.