Björgell O, Nilsson P E, Svensson P J, Bergqvist D
Department of Diagnostic Radiology, University Hospital in Malmö, Sweden.
Angiology. 1999 Mar;50(3):179-87. doi: 10.1177/000331979905000301.
The scoring system most commonly used to date to describe the thrombotic burden of deep vein thrombosis (DVT) excludes several deep vein segments and is thereby of limited use in research. The aim of this prospective, comparative study was to develop a new scoring and distribution system that would include all major deep veins of the leg and pelvis. In total, 247 consecutive patients were included, of whom 105 had a positive phlebography. The positive phlebographies were registered in the new system and the result was compared with that obtained by the Marder system. In 72% (76/105) of the patients the DVT distribution was not completely described and the thrombotic burden was significantly underestimated by the Marder system. Of these, 12% (13/105) were not scored at all, thus representing false-negative investigations. It was possible to score all DVTs and important vein segments of these patients with the new system. The scoring system previously used excludes several deep vein segments. A description of the important vein segments, where DVT is shown to originate and propagate, is mandatory in a scoring system designed for the purpose of research of DVT and later detected deep vein insufficiency. The new system meets this demand.
迄今为止，最常用于描述深静脉血栓形成（DVT）血栓负荷的评分系统排除了几个深静脉节段，因此在研究中的用途有限。这项前瞻性比较研究的目的是开发一种新的评分和分布系统，该系统将包括腿部和骨盆的所有主要深静脉。总共纳入了247例连续患者，其中105例静脉造影呈阳性。将阳性静脉造影结果记录在新系统中，并与通过马德系统获得的结果进行比较。在72%（76/105）的患者中，DVT分布未得到完整描述，马德系统显著低估了血栓负荷。其中，12%（13/105）根本未被评分，因此代表假阴性检查。使用新系统可以对这些患者的所有DVT和重要静脉节段进行评分。以前使用的评分系统排除了几个深静脉节段。在为DVT研究及后续检测深静脉功能不全而设计的评分系统中，必须描述DVT起始和蔓延的重要静脉节段。新系统满足了这一需求。
