[1]周星帆,周文珍,王利伟,等.CT静脉造影显示下肢深静脉血栓分布的临床价值[J].介入放射学杂志,2019,28(12):1140-1143.
 ZHOU Xingfan,ZHOU Wenzhen,WANG Liwei,et al. The clinical value of CT venography in displaying the distribution of deep venous thrombosis of lower extremities[J].journal interventional radiology,2019,28(12):1140-1143.
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CT静脉造影显示下肢深静脉血栓分布的临床价值()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年12期
页码:
1140-1143
栏目:
血管介入
出版日期:
2019-12-28

文章信息/Info

Title:
 The clinical value of CT venography in displaying the distribution of deep venous thrombosis of lower extremities
作者:
周星帆 周文珍 王利伟 杨春霞 殷信道 卢铃铨 王书智 顾建平
Author(s):
ZHOU Xingfan ZHOU Wenzhen WANG Liwei YANG Chunxia YIN Xindao LU Lingquan WANG Shuzhi GU Jianping.
Department of Radiology, Nanjing Municipal First Hospital, Affiliated Nanjing Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210006, China
关键词:
【关键词】 下肢 静脉血栓形成 分布 体层摄影术X射线计算机
文献标志码:
A
摘要:
【摘要】 目的 探讨CT静脉造影(CTV)显示深静脉血栓形成(DVT)在下肢静脉各段分布的临床价值。方法 对105例下肢DVT患者CTV和DSA影像学资料进行对比分析。比较CTV三维图像和DSA造影结果,观察下肢深静脉各段内血栓分布,分析血栓形成原因。 χ2检验法对比CTV和DSA对下腔静脉,双侧髂外静脉、股浅静脉、腘静脉、髂内静脉、股深静脉血栓形成的诊断准确性。 结果 CTV显示105例患者中DVT在双下肢11例,左下肢71例,右下肢23例。DSA未能显示20处髂内静脉血栓和31处股深静脉血栓。CTV显示下肢血栓近心段及双侧肾静脉是否受累比DSA更清晰。CTV和DSA对下腔静脉血栓诊断差异无统计学意义(χ2=1.33,P>0.05);对左髂外静脉(χ2=0, P>0.05)、右髂外静脉(χ2=1.33, P>0.05)、左股浅静脉(χ2=0.50, P>0.05)、右股浅静脉(χ2=0, P>0.05)、左腘静脉(χ2=0, P>0.05)、右腘静脉(χ2=0, P>0.05)血栓诊断差异均无统计学意义;对左髂内静脉(χ2=12.07, P<0.05)、右髂内静脉(χ2=4.16, P<0.05)、左股深静脉(χ2=22.04, P<0.05)、右股深静脉(χ2=5.14, P<0.05)血栓诊断差异均有统计学意义。 结论 下肢局部血栓形成好发于易受到外压的左髂总静脉分叉处、腹股沟区和腘窝区。CTV既能清晰显示下肢各段静脉血栓形成,也能显示DSA难以诊断的髂内静脉和股深静脉血栓形成,为介入治疗方案制定提供帮助。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019- 01- 16)
(本文编辑:边 佶)
更新日期/Last Update: 2019-12-27