Endert G, Ritter H, Schumann E
Rofo. 1979 Oct;131(4):408-13. doi: 10.1055/s-0029-1231461.
Radiological diagnostic methods for the diagnosis of abnormalities of veins were discussed in the light of 1,683 contrast venograms and isotope examinations in 650 patients with acute and chronic diseases of veins. For patients with increased thrombotic risks, the 125 I-fibrinogen test is recommended as a sensitive and simple method. Where there are symptoms of venous thrombosis, radionuclide venography, together with other noninvasive methods, may be used for establishing whether there are indications for contrast venography. These may also provide evidence of previous pulmonary emboli. These methods should also be used where there is clinical suspicion of previous pulmonary emboli. Non-invasive isotope methods have proved to be sensitive techniques for preliminary examinations and for follow-up. Contrast venography is necessary if definitive treatment is planned.
根据对650例急慢性静脉疾病患者进行的1683次静脉造影和同位素检查，讨论了用于诊断静脉异常的放射诊断方法。对于血栓形成风险增加的患者，推荐使用¹²⁵I -纤维蛋白原试验，这是一种敏感且简单的方法。出现静脉血栓形成症状时，放射性核素静脉造影可与其他非侵入性方法一起用于确定是否有进行静脉造影的指征。这些方法也可提供既往肺栓塞的证据。临床怀疑有既往肺栓塞时也应使用这些方法。事实证明，非侵入性同位素方法是初步检查和随访的敏感技术。如果计划进行确定性治疗，则需要进行静脉造影。
