|本期目录/Table of Contents|

[1]张达,袁宇.超声影像变化趋势对下肢深静脉血栓转归的预测价值[J].天津医科大学学报,2023,29(04):432-435.
　ZHANG Da,YUAN Yu.Value of forecasting lower limb deep venous thrombosis′s prognosis with change trend of ultrasound images[J].Journal of Tianjin Medical University,2023,29(04):432-435.
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超声影像变化趋势对下肢深静脉血栓转归的预测价值(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
29卷
期数:
2023年04期
页码:
432-435
栏目:
临床医学
出版日期:
2023-07-10

文章信息/Info

Title:
Value of forecasting lower limb deep venous thrombosis′s prognosis with change trend of ultrasound images
文章编号:
1006-8147（2023）04-0432-04
作者:
张达; 袁宇
天津市天津医院超声科，天津300211
Author(s):
ZHANG Da; YUAN Yu
Department of Ultrasound，Tianjin Hospital of Tianjin，Tianjin 300211，China
关键词:
深静脉血栓; 彩色多普勒超声; 急性期; 转归
Keywords:
deep venous thrombosis; colored doppler ultrasound; acute phase; prognosis
分类号:
R445.1
DOI:
-
文献标志码:
A
摘要:
目的：探讨下肢深静脉血栓（DVT）的彩色多普勒超声图像于急性期两次超声检查间的变化趋势及其用于预测血栓转归的价值。方法：选取天津市天津医院2020年2月—2020年12月的DVT患者142例，对比急性期两次超声检查中受累静脉的数量、内径、血流充盈程度与血栓回声情况，获得每个患者的声像图变化趋势。6个月后超声检查血栓转归情况，将患者分为血栓慢性期组和血栓再通组，分析两组患者急性期声像图变化趋势的差异，评估其用于预测血栓转归的临床价值。结果：急性期血栓慢性期组40例患者中有10例血栓回声增高、12例受累静脉内径增大、20例受累静脉数量增多，而血栓再通组102例患者中则分别有5例、5例和13例，均显著低于血栓慢性期组（χ2值分别为10.249、14.875、22.355，均P＜0.001）。结论：急性期声像图出现血栓回声增高、受累静脉内径增大和受累静脉数量增多的变化趋势的DVT更易转为慢性期。
Abstract:
Objective：To study the change trend of color Doppler ultrasound images of deep venous thrombosis（ DVT）of lower limbs between two exams during acute phase，and its value for DVT prognosis forecast. Methods：During Feb to Dec，2020，142 DVT patients in Tianjin Hospital in Tianjin were selected. The number，diameter，blood flow level and echo of thrombosis were compared between two ultrasound examination during acute phase，and the trend of ultrasound changes in each patient was obtained. Another ultrasound examination was performed to assess the outcome of thrombus after 6 months. Then，the patients were divided into chronic thrombosis group and recanalization thrombosis group. The differences of the ultrasound image changes between the two times ultrasound exams during acute phase was analyzed to evaluate its clinical value for predicting the thrombus outcome. Results：During acute phase，among 40 patients in chronic thrombosis group，10 showed increased thrombosis′s echo，12 showed increased diameter of the affected veins，20 showed increased number of the affected veins. Whereas，there were 5，5，13 among 102 patients in recanalization thrombosis group， respectively，which all significantly lower than chronic thrombosis group （ χ2=10.249，14.875，22.355，all P<0.001）. Conclusion：DVT with ultrasound image showing increase trend of thrombosis′s echo，diameter and number of affected vein during acute phase is more likely to turn into chronic prognosis.

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相似文献/References:

[1]郭长旭,袁 宇,魏 瑶,等.彩色多普勒在下肢静脉血栓合并动静脉瘘的诊断价值[J].天津医科大学学报,2017,23(06):522.

备注/Memo

备注/Memo:
作者简介张达（1992-），男，住院医师，硕士在读，研究方向：血管超声与超声心动；
通信作者：袁宇，E-mail：tjyycsk@163.com。
更新日期/Last Update: 2023-07-10