彩色多普勒超声检测老年下肢深静脉血栓的临床价值

发布时间：2018-05-30 14:16

本文选题：彩色多普勒超声 + 下肢深静脉血栓　；参考：《中国老年学杂志》2015年16期

【摘要】：目的探讨彩色多普勒超声检测在老年下肢深静脉血栓的临床运用价值。方法选取120例下肢深静脉血栓老年患者,远离采用高频彩色多普勒超声进行检测。对比观察患者在治疗前后的内径扩张、内膜增厚毛糙、血管压缩性差、管腔回声不清、静脉瓣功能异常,血流速度减低及侧支循环建立的超声检测结果。结果 120例患者中显示138条患肢存在下肢深静脉血栓,其中单侧85.00%,双侧15.00%。左侧71.74%,右侧28.26%。股静脉血栓比率最高,达到31.88%,骼静脉比率最低,为5.07%。治疗后,患者在内径扩张、内膜增厚毛糙、血管压缩性差、管腔回声不清、静脉瓣功能异常,血流速度减低及侧支循环建立的情况均有所改善(P0.01)。结论彩色多普勒超声检测老年下肢深静脉血栓在综合治疗中具有评估价值,且诊断价值显著。
[Abstract]:Objective to evaluate the clinical value of color Doppler ultrasonography in detecting deep venous thrombosis of lower extremities in the elderly. Methods 120 aged patients with deep venous thrombosis of lower extremity were examined by high frequency color Doppler ultrasound. The results of ultrasonic examination were compared before and after treatment, such as dilation of inner diameter, thickening of intima, poor compression of blood vessel, unclear echo of lumen, abnormal function of venous valve, decreased blood flow velocity and establishment of collateral circulation. Results among 120 patients, 138 limbs had deep venous thrombosis in lower extremities, including 85.00 on one side and 15.00 on both sides. 71.74 on the left and 28.26 on the right. The thrombus ratio of femoral vein was the highest (31.88) and the ratio of iliac vein was the lowest (5.07). After treatment, dilation of inner diameter, thickening of intima, poor compression of blood vessel, unclear echo of lumen, abnormal function of venous valve, decrease of blood flow velocity and establishment of collateral circulation were all improved (P0.01). Conclusion Color Doppler ultrasonography is valuable in the evaluation and diagnosis of lower extremity deep venous thrombosis in elderly patients.
【作者单位】：河北医科大学第三医院超声科;河北省赞皇县医院超声科;
【基金】：河北省卫生厅资助项目(No.20100382)
【分类号】：R445.1;R543.6

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