| 摘要: |
| 【】目的 分析彩色多普勒超声对大隐静脉曲张患者的下肢深静脉结构及血流动力学状况检测的临床价值。方法 我院血管外科2015年6月～2016年6月收治的大隐静脉曲张患者90例(患肢130条),用超声观察患者下肢深静脉管壁及瓣膜回声、管腔形态、管腔内血流充盈状况、有无血栓形成及频谱多普勒显像情况,并与静脉X-线造影对比分析。结果 超声检查发现130条患肢中深静脉正常者79条(占60.77%),原发性深静脉瓣功能不全30例(占23.08%),深静脉血栓后遗症4条(占3.08%),合并动静脉瘘7例,(占5.38%),与X-线静脉造影比较超声诊断的准确性分别为96.2%、93.3%、100%及100%。结论超声可以清晰显示大隐静脉曲张患者的下肢深静脉结构及血流状态,为诊断和选择治疗方式提供有价值的信息。 |
| 关键词: 彩色多普勒超声 大隐静脉曲张 下肢深静脉 |
| DOI： |
| 投稿时间：2016-10-08修订日期：2016-11-08 |
| 基金项目: |
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| Xue Shaowei1 Li Yanmi1* Fei Xiang1 Li Min1 Ma Xiaohui2 |
| xueshaowei,liyanmi |
| () |
| Abstract: |
| : Objective To analyze the clinical value of color Doppler ultrasound in detection of deep vein structure and hemodynamics of lower extremities of patients with great saphenous varicose vein. Method 90 patients (130 affected extremities) with great saphenous varicose vein were treated by Department of Vascular Surgery in our hospital from June 2015 to June 2016. Ultrasound was applied to observe the echo features of deep vein wall and valve of lower extremities, such as, lumen form, blood filling in the lumen, thrombosis situation. spectral Doppler imaging, and contrastive analysis was carried out with vein X-ray radiography. Results It was found from ultrasonic testing that among 130 affected extremities, there were 79 extremities with normal deep veins (accounting for 60.77%). There were 30 extremities with primary deep venous valve insufficiency (accounting for 23.08%), 4 extremities with deep venous thrombosis sequela (accounting for 3.08%) and 7 extremities complicated with arteriovenous fistula (accounting for 5.38%). Compared with X-ray venography, the accuracy of ultrasonic diagnosis was 96.2%, 93.3%, 100% and 100%, respectively. Conclusion Ultrasound can clearly display deep vein structure and hemodynamics of lower extremities of patients with great saphenous varicose vein, and it provides valuable help for diagnosis and treatment method selection. |
| Key words: color Doppler ultrasound great saphenous varicose vein deep vein of lower extremity |
