超声在下肢骨折术后深静脉血栓中的应用
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摘要
目的研究分析彩色多普勒超声在诊断下肢骨折术后深静脉急性血栓中的具体价值。方法选择60例在我院接受手术治疗的下肢骨折患者作为研究对象。在术后2周内为患者进行患侧下肢和健侧下肢的彩色多普勒超声检查,对比患侧下肢和健侧下肢的深静脉内血栓的回声情况,综合分析检查结果,以了解彩色多普勒超声在诊断下肢骨折术后深静脉急性血栓中的具体价值。结果患者健侧股总动脉内径平均为(0.48±0.07)cm;股浅静脉均为(0.62±0.13)cm;腘静脉均为(0.71±0.16)cm;胫后静脉均为(0.31±0.03)cm;患侧股总动脉内径平均为(1.42±0.11)cm;股浅静脉均为(0.98±0.06)cm;腘静脉均为(0.99±0.11)cm;胫后静脉均为(0.53±0.09)cm,健侧血管内径均小于患侧,差异具有统计学意义(t_1=3.145、t_2=4.325、t_3=6.566、t_4=6.235,P <0.05)。结论彩色多普勒超声检查是临床上诊断下肢骨折术后患者深静脉急性血栓的一种有效手段,为血栓的治疗提供有效的指导。
Objective To study and analyze the specific value of color Doppler ultrasound in the diagnosis of deep vein acute thrombosis after lower limb fracture surgery. Methods 60 patients with lower extremity fracture who underwent surgical treatment in our hospital were selected as the research objects. The patients were examined by color Doppler ultrasonography in the affected and healthy lower extremities within 2 weeks after operation. The echo of deep venous thrombosis in the affected and healthy lower extremities was compared, and the results were analyzed comprehensively to understand more color. The value of ultrasonography in the diagnosis of acute deep vein thrombosis after lower limb fracture surgery was figured out. Results The medial diameter of the contralateral common femoral artery and superficial femoral vein of the patients were(0.48±0.07) cm and(0.62±0.13) cm respectively. The popliteal veins and posterior tibial veins were(0.71±0.16) cm and(0.31±0.03) cm respectively.The medial diameter of the common femoral artery was(1.42±0.11) cm,the superficial femoral veins were(0.98±0.06) cm, and the popliteal veins were(0.99±0.11) cm. Posterior tibial veins were(0.53±0.09) cm, and the diameter of the contralateral vessels was smaller than that of the affected side. The difference was statistically significant(t_1=3.145, t_2=4.325,t_3=6.566, t_4=6.235, P < 0.05). Conclusion Color Doppler ultrasonography is an effective method for clinical diagnosis of deep vein acute thrombosis in patients with lower limb fracture after operation. It provides effective guidance for the treatment of thrombosis.
Objective To study and analyze the specific value of color Doppler ultrasound in the diagnosis of deep vein acute thrombosis after lower limb fracture surgery. Methods 60 patients with lower extremity fracture who underwent surgical treatment in our hospital were selected as the research objects. The patients were examined by color Doppler ultrasonography in the affected and healthy lower extremities within 2 weeks after operation. The echo of deep venous thrombosis in the affected and healthy lower extremities was compared, and the results were analyzed comprehensively to understand more color. The value of ultrasonography in the diagnosis of acute deep vein thrombosis after lower limb fracture surgery was figured out. Results The medial diameter of the contralateral common femoral artery and superficial femoral vein of the patients were(0.48±0.07) cm and(0.62±0.13) cm respectively. The popliteal veins and posterior tibial veins were(0.71±0.16) cm and(0.31±0.03) cm respectively.The medial diameter of the common femoral artery was(1.42±0.11) cm,the superficial femoral veins were(0.98±0.06) cm, and the popliteal veins were(0.99±0.11) cm. Posterior tibial veins were(0.53±0.09) cm, and the diameter of the contralateral vessels was smaller than that of the affected side. The difference was statistically significant(t_1=3.145, t_2=4.325,t_3=6.566, t_4=6.235, P < 0.05). Conclusion Color Doppler ultrasonography is an effective method for clinical diagnosis of deep vein acute thrombosis in patients with lower limb fracture after operation. It provides effective guidance for the treatment of thrombosis.
引文
[1]张玉秀.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[J].临床超声医学杂志,2016,18(11):749-752.
[2]王亚萍,苏国玲,张艺萍.探讨彩色多普勒超声在急性下肢深静脉血栓溶栓效果中的应用价值[J].中国现代药物应用,2017,11(9):135-136.
[3]吴桢妹.彩色多普勒超声在下肢深静脉血栓诊断中的应用价值分析[J].医学理论与实践,2017,30(22):3393-3394.
[4]马超,刘娟.床旁彩色多普勒超声在下肢关节置换术术后下肢深静脉血栓形成诊断中的应用价值[J].中国保健营养,2017,27(31):72-74.
[5]侯佳,罗萍,陈伟.彩色多普勒超声与D-二聚体在下肢闭合性骨折术后并发深静脉血栓诊断中的相关性[J].中国中西医结合影像学杂志,2016,14(6):677-679.
[6]王巍,郑海宁,王琼,等.彩色多普勒超声在急性孤立性小腿深静脉血栓中应用价值[J].临床军医杂志,2017,45(4):416-417.
[7]刘宏瑞,陈晓园,彭国瑞.超声对下肢骨折术后患者下肢深静脉急性血栓形成的诊断价值[J].中国医药科学,2018,24(4):172-174.
[8]周平安,刁杰,张小宾.彩色多普勒超声对下肢深静脉血栓的诊断价值及其在溶栓疗效评价中的应用研究[J].广西医科大学学报,2017,34(9):1344-1347.
[9]刘晓强,米立东,陈广鹏.彩色多普勒超声在老年骨折患者下肢深静脉血栓诊断中的应用价值[J].今日健康,2016,15(2):350.
[10]宋丽莎,余庆红,郑维君,等.彩色多普勒超声诊断下肢深静脉血栓形成后综合征的应用价值[J].中国现代普通外科进展,2016,19(1):44-46.
[11]赵虹,白连杰.彩色多普勒超声联合血浆D-二聚体在老年下肢深静脉血栓评价中的应用价值[J].航空航天医学杂志,2017,28(1):78-79.
[12]李兆明.彩色多普勒超声诊断下肢深静脉血栓的价值[J].江苏医药,2016,42(19):2149-2150.
[2]王亚萍,苏国玲,张艺萍.探讨彩色多普勒超声在急性下肢深静脉血栓溶栓效果中的应用价值[J].中国现代药物应用,2017,11(9):135-136.
[3]吴桢妹.彩色多普勒超声在下肢深静脉血栓诊断中的应用价值分析[J].医学理论与实践,2017,30(22):3393-3394.
[4]马超,刘娟.床旁彩色多普勒超声在下肢关节置换术术后下肢深静脉血栓形成诊断中的应用价值[J].中国保健营养,2017,27(31):72-74.
[5]侯佳,罗萍,陈伟.彩色多普勒超声与D-二聚体在下肢闭合性骨折术后并发深静脉血栓诊断中的相关性[J].中国中西医结合影像学杂志,2016,14(6):677-679.
[6]王巍,郑海宁,王琼,等.彩色多普勒超声在急性孤立性小腿深静脉血栓中应用价值[J].临床军医杂志,2017,45(4):416-417.
[7]刘宏瑞,陈晓园,彭国瑞.超声对下肢骨折术后患者下肢深静脉急性血栓形成的诊断价值[J].中国医药科学,2018,24(4):172-174.
[8]周平安,刁杰,张小宾.彩色多普勒超声对下肢深静脉血栓的诊断价值及其在溶栓疗效评价中的应用研究[J].广西医科大学学报,2017,34(9):1344-1347.
[9]刘晓强,米立东,陈广鹏.彩色多普勒超声在老年骨折患者下肢深静脉血栓诊断中的应用价值[J].今日健康,2016,15(2):350.
[10]宋丽莎,余庆红,郑维君,等.彩色多普勒超声诊断下肢深静脉血栓形成后综合征的应用价值[J].中国现代普通外科进展,2016,19(1):44-46.
[11]赵虹,白连杰.彩色多普勒超声联合血浆D-二聚体在老年下肢深静脉血栓评价中的应用价值[J].航空航天医学杂志,2017,28(1):78-79.
[12]李兆明.彩色多普勒超声诊断下肢深静脉血栓的价值[J].江苏医药,2016,42(19):2149-2150.