Clinical value of color Doppler ultrasound in the diagnosis and treatment of calf intermuscular venous thrombosis
LIU Chuan-wen1, XIAO Hua2
1.Department of Ultrasonography, 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 intermuscular 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 diagnosis 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 recanalized. 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 display therapeutic effect, and can be used as a reference for clinical doctors to adjust treatment plans, and it is simple and economical, non-invasive. It has high clinical application value as the first choice method for detecting calf intermuscular venous thrombosis.
刘传文1，肖 华2. 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[J]. 中国临床医学影像杂志, 2019, 30(9): 637-639.
LIU Chuan-wen1, XIAO Hua2. Clinical value of color Doppler ultrasound in the diagnosis and treatment of calf intermuscular venous thrombosis. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(9): 637-639.
2019, Vol. 30 
