彩色多普勒超声在下肢骨折术后深静脉急性血栓中的应用价值

发布时间：2018-04-05 09:04

本文选题：超声检查　切入点：多普勒　出处：《临床超声医学杂志》2016年11期

【摘要】：目的探讨彩色多普勒超声对下肢骨折术后深静脉急性血栓的诊断价值。方法选取505例下肢骨折术患者,于术后行彩色多普勒超声检查并比较患侧与健侧下肢深静脉内径,检测深静脉内血栓的回声强度和回声分布,以及血栓处及其相邻深静脉腔内的彩色血流信号与频谱多普勒情况,分析骨折部位与血栓数量的关系。结果下肢骨折术患者患侧下肢血栓处静脉内径明显扩张,与健侧比较差异有统计学意义(P0.05);患侧下肢深静脉内出现无回声与低回声;血栓分布最多的是腓静脉(16.35%)、胫后静脉(19.23%)及其他小腿肌间静脉(41.99%)。膝部骨折患者形成血栓百分比较股骨干及股骨颈骨折、胫腓骨骨折、足踝部骨折均升高,差异均有统计学意义(均P0.05)。结论应用彩色多普勒超声检测并比较下肢骨折术患者患侧下肢与健侧下肢深静脉,可及早发现下肢深静脉的急性血栓,为临床及早诊断与治疗提供依据。
[Abstract]:Objective to investigate the value of color Doppler ultrasound in the diagnosis of acute deep venous thrombosis after lower limb fracture surgery. Methods 505 cases of lower limb fracture patients in postoperative color Doppler ultrasound were compared and the contralateral side of the lower extremity deep vein diameter, echo intensity and echo distribution of deep vein thrombosis, and thrombosis and adjacent deep endovenous color blood flow signal and Doppler spectrum, analysis of fracture site and the relationship between the number of thrombosis. The lower limb fracture patients with lower limb vein thrombosis at the obvious expansion, compared with the contralateral statistical significance (P0.05); the lower limb deep vein appeared no echo and low echo; most of the distribution of thrombosis is the peroneal veins (16.35%), posterior tibial vein (19.23%) and other (41.99%) of calf muscular venous thrombosis in patients with knee fracture. The percentage of femoral and femoral neck fracture of tibia and fibula Bone fractures, ankle fractures were increased, the differences were statistically significant (P0.05). Conclusion the application of color Doppler ultrasound to detect and compare the lower limb fracture patients with lower limb with the contralateral lower limb deep vein thrombosis, early detection of acute lower extremity deep vein, provide the basis for clinical early diagnosis and treatment.

【作者单位】：浙江新安国际医院超声科;
【分类号】：R445.1;R687.3

【相似文献】