Guias B, Simoni G, Oger E, Lemire A, Leroyer C, Mottier D, Nonent M, Bressollette L
Unité d'Echo-Doppler Vasculaire Périphérique, CHU La Cavale Blanche, Brest.
J Mal Vasc. 1999 May;24(2):132-4.
The clinical significance of calf muscle venous thrombosis (CMVT) still remains a matter of debate. Detected by ultrasonography, they are overlooked by venography. This prompted us to evaluate the frequency of such localizations and their association to pulmonary embolism (PE).
Retrospective review of our database over a three-year period. All patients with an isolated CMVT were included.
Isolated CMVT were detected in 106 patients (mean age 68.6 years; 65% women), that is 12.5% of all venous thromboses diagnosed in the vascular sonography unit over the study period Sixteen associated PE were detected (15%).
Association of CMVT and PE is not infrequent. Whether or not such thromboses have the potential to extend into deep veins and/or to migrate into pulmonary circulation requires further studies.
小腿肌肉静脉血栓形成(CMVT)的临床意义仍存在争议。超声检查可检测到这些血栓,但静脉造影却会忽视它们。这促使我们评估此类血栓形成的发生率及其与肺栓塞(PE)的关联。
回顾性分析我们数据库中三年期间的数据。纳入所有孤立性CMVT患者。
在106例患者中检测到孤立性CMVT(平均年龄68.6岁;65%为女性),占研究期间血管超声科诊断的所有静脉血栓的12.5%。检测到16例相关的PE(15%)。
CMVT与PE的关联并不罕见。此类血栓是否有可能延伸至深静脉和/或迁移至肺循环,需要进一步研究。