|
|
|
| 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.
|
|
Received: 27 December 2018
|
|
|
|
|
|
[1]周永昌，郭万学． 超声医学[M]． 5版． 北京：科学技术文献出版社，2006.
[2]张琳娜，杨植，陈磊，等. 彩色多普勒超声对小腿肌间静脉丛血栓的诊断分析[J]. 第三军医大学学报，2012，34（9）：878-878.
[3]谈卫杰，桑玉顺，姥义，等. 彩色多普勒超声对小腿肌间静脉丛血栓的诊断及疗效评价[J]. 临床超声医学杂志，2012，14（10）：713-714.
[4]赵世芬，张春爽，相玉萍. 彩色多普勒超声对小腿肌间静脉丛血栓的诊断价值[J]. 中外医疗，2011，30（7）：168-169.
[5]唐恬恬，汤庆. 下肢深静脉血栓形成与彩超检查的应用[J]. 中华关节外科杂志：电子版，2012，6（1）：123-124. |
|
|
|
2019, Vol. 30 
