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

中国临床医学影像杂志2019年第30卷第9期J Chin Clin Med Imaging, 2019, Vol.30, No.9?637-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刘传文I,肖华2(1.潍坊市市直机关医院超声科，山东 潍坊261061 ；2.阳光融和医院康复医学科，山东 潍坊 261061)［摘要］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天后复査彩色多普勒超声，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。［关键词］静脉血栓形成；腿；超声检查，多普勒，彩色［中图分类号］R543.6；R445.1 ［文献标识码］A ［文章编号］1008-1062 (2019)09-0637-03

DOI:10.12117/jccmi.2019.09.008Clinical value of color Doppler ultrasound in the diagnosis and treatment of calf intermuscular venous thrombosis

LIU Chuan-wen1, XIA 0 Huc^(1.Department of UItrasonographyf Weifang Municipal Official Hospital, Weifang Shandong 261061, China;

2.Department of Rehabilitation Medicine, Sunshine Ronghe Hospital, Weifang Shandong 261061, China)Abstract: Objective: To study the clinical value of color Doppler ultrasound in diagnosis and treatment of calf intermus-cular 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 di-

agnosis 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 re?

canalized. 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 dis-play therapeutic effect, and can be used as a reference for clinical doctors to adjust treatment plans, and it is simple and e-

conomical, non-invasive. It has high clinical application value as the first choice method for detecting calf intermuscular ve-

nous thrombosis.Key words: Venous thrombosis; Leg; Ultrasonography, Doppler, color小腿肌间静脉血栓(Muscular calf vein throm-

bosis, MCVT) 是一种常见的静脉血栓类型，发病初 期，常因症状不明显被忽视，但临床表明，该病症可

引起肺栓塞、猝死等严重后果。因此，早诊断、早治

1资料与方法1.1研究对象选取我院2016年1月一2018年6月期间198

疗，准确了解治疗效果，及时控制肌间静脉血栓，尤

例MCVT患者，其中男86例，女112例，年龄27~88 岁。患者症状:小腿轻重不一肿胀、疼痛，部分踝关节

为重要。本文对我院2016年1月—2018年6月期 间198例MCVT患者诊疗过程中彩色多普勒超声

肿胀，出现行走障碍，少量患者有色素沉着、溃烂

检测结果进行回顾研究，报告如下。［收稿日期］2018-12-27；［修回日期］2019-01-14情况。［作者简介］刘传文(1974-),男，山东潍坊人，副主任医师。E-mail：lchwyhm@ 126.com［通讯作者］刘传文，潍坊市市直机关医院超声科,261061。E-mail:lchwyhm@126.com