彩色多普勒超声对小腿肌间静脉血栓的诊断价值及误诊分析

The value of diagnosis for muscle venous plexus thrombosis by Doppler and analysis of misdiagnosis

目的探讨彩色多普勒超声对小腿肌间静脉血栓的诊断价值并分析误诊原因。方法回顾分析2013年1月到2014年1月在我院临床确诊为小腿肌间静脉血栓并进行溶栓治疗的患者224例,分析其二维及彩色多普勒超声表现并分析我院彩色多普勒超声对小腿肌间静脉血栓的诊断准确率和误诊率,并分析误诊原因。结果临床确诊小腿肌间静脉224例供有284条)彩色多普勒超声诊断198例(共有256条),诊断准确率为90.1%(256/284),漏诊22例(24条),误诊4例(4条)。其中单侧发病190例,双侧发病34例。结论彩色多普勒超声对小腿肌间静脉血栓的诊断具有较高的临床价值。

Objective To discuss the value of diagnosis for the calf muscle venous plexus thrombosis by Doppler ultrasound. Methods Retrospectively analyze 224 cases diagnosed the calf muscle venous plexus thrombosis during 2013 to 2014, and analyze the image feature of 2-D and Doppler. Results Of all 224 cases, 198 cases were diagnosed by Doppler, the diagnosis rate was 90.1%, 22 cases was missed diagnosis, and 4 cases with error diagnosis. 190 cases had unilateral thrombosis, 34 cases had bilateral thrombosis. Conclusion Color Doppler has higher clini-cal significance for diagnosis calf muscle venous plexus thrombosis, especially apply to base hospital for diagnosis and judging curative effect.