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目的:分析骨科手术后下肢静脉血栓的彩超诊断价值。方法:将2014年2月-2015年3月期间收治于我院的疑似为骨科手术后下肢静脉血栓患者35例为研究对象,研究中所有患者均全部采用彩色多普勒血流显像以及超声检查,对患者血栓的范围、部位以及栓塞情况进行观察。结果:35例患者中发现4例髂静脉血栓、12例为股静脉血栓、14例腘静脉血栓和股静脉血栓、5例小腿深静脉血栓。部分阻塞32例、3例完全阻塞。经过治疗后,完全阻塞再通2例,1例部分再通。部分阻塞再通32例,均全部畅通。结论:将彩超诊断应用于骨科手术后下肢静脉血栓的诊断中,具有极高的特异性以及敏感性,可对患者的治疗效果进行动态观察和判断,属于一种无创可重复检查的方法,临床中值得推广使用。
Objective: To analyze the value of color Doppler ultrasound in the diagnosis of lower extremity venous thrombosis after orthopedic surgery. Methods: From February 2014 to March 2015 in our hospital suspected of postoperative orthopedic surgery, 35 cases of venous thrombosis in patients with the study, all patients were studied using color Doppler flow imaging and ultrasound Check, the scope of patients with thrombosis, site and embolism were observed. Results: In 35 patients, 4 cases of iliac vein thrombosis, 12 cases of femoral vein thrombosis, 14 cases of popliteal vein thrombosis and femoral vein thrombosis, 5 cases of calf deep vein thrombosis. Partial obstruction in 32 cases, 3 cases completely blocked. After treatment, complete obstruction and recanalization in 2 cases, 1 case recanalization. Partial obstruction recanalization in 32 cases, all unimpeded. Conclusion: The application of color Doppler ultrasonography in the diagnosis of lower extremity venous thrombosis after orthopedic surgery has high specificity and sensitivity, which can dynamically observe and judge the treatment effect of patients. It belongs to a noninvasive and repeatable examination method, and clinical It is worth to promote the use of.