高频超声诊断孤立性小腿肌间静脉血栓的价值_门殿霞.pdf

2014 9 11 9 Chin J Med Ultrasound(Electronic Edition), September 2014, Vol.11, No.9 715 中华医学超声杂志(电子版) 年 月 第 卷 第 期 · · • 外周血管超声影像学 • 高频超声诊断孤立性小腿肌间静脉 血栓的价值 门殿霞　杨青梅　康晓妍　陈晓燕　冯婷华　薛继平　吕虹　康春松 　　 【摘要】　目的　探讨高频超声对孤立性小腿肌间静脉血栓的诊断价值。方法　回顾性分析临床 确诊的 175 例 （190 条）孤立性小腿肌间静脉血栓的声像图特征并与临床随访结果进行对比分析。 结果　175 例 （190 条）孤立性小腿肌间静脉血栓，高频超声正确诊断 158 例 （173 条），误诊7 例 （7 条）， 漏诊 10 例 (10 条），诊断准确率 91.1% （173/ 190 ）。误诊 7 例分别为神经纤维瘤 1 例，混合型血管 瘤 1 例，腓肠肌血肿 5 例。所有患者发现后均进行溶栓及抗凝治疗，治疗后 1、3、6 个月复查彩色多 普勒超声，血流部分再通或完全再通，均无小腿深静脉主干蔓延。小腿肌间静脉血栓声像图特征：静 脉管腔明显增宽，管腔内低回声充填，长轴呈管状或树枝状，短轴为圆形或椭圆形，适度加压管腔不 能被压瘪，管腔内大多无血流信号显示。结论　高频彩色多普勒超声可以显示血栓的位置、形态、类 型、管腔阻塞情况及血流状态，有助于明确诊断孤立性小腿肌间静脉血栓，同时对治疗效果可以进行 动态评估。 　　 【关键词】　静脉；　血栓栓塞；　腿；　超声检查，多普勒，彩色 The clinical applicated value of high-frequency ultrasound in the diagnosis of isolated calf muscle vein thrombosis　Men Dianxia, Yang Qingmei, Kang Xiaoyan, Chen Xiaoyan, Feng Tinghua, Xue Jiping, Lyu Hong, Kang Chunsong. Department of Ultrasound, Shanxi Academy of Medical Sciences, Shanxi Dayi Hospital, Taiyuan 030032, China Corresponding author: Kang Chunsong, Email: kangchunsong2005@ Abstract Objective To explore the clinical value of high-frequency color Doppler ultrasound in the 　　 【 】　 　 diagnosis of isolated calf muscle vein thrombosis (ICMVT). Methods　Sonographic features of 175 patients with isolated calf muscular venous thrombosis were analyzed retrospectively and outcome of anticoagulant therapy in 1, 3, and 6 months was followed up. Diagnosis was established with high-frequency color Doppler ultrasound examination. Results　One hundred and seventy-five patients presenting with 190 calf muscle vein thrombosis were included. One hundred and fifty-eight cases with 173 calf muscle vein thrombosis were diagnosed by high-frequency color Doppler ultr