热成像和体积描记法，一种用于诊断深静脉血栓形成的无创性静脉造影替代方法。

Thermography and plethysmography, a non-invasive alternative to venography in the diagnosis of deep vein thrombosis.

作者信息

Holmgren K, Jacobsson H, Johnsson H, Löfsjögård-Nilsson E

机构信息

Department of Internal Medicine, Karolinska Hospital, Stockholm, Sweden.

出版信息

J Intern Med. 1990 Jul;228(1):29-33. doi: 10.1111/j.1365-2796.1990.tb00188.x.

DOI:10.1111/j.1365-2796.1990.tb00188.x

PMID:2384734

Abstract

One plethysmographic and two thermographic methods were evaluated against venography in 102 patients with suspected deep vein thrombosis (DVT). Seventy-one patients had venographically verified DVT, which in 21 cases was restricted to the calf. Plethysmography (PG) gave a sensitivity and specificity of 63% and 94%, respectively. The former was influenced by a limited sensitivity of 14% in the sub-group with distal DVT. The sensitivity and specificity of temperature profiles (TP) were 87% and 39%, respectively, while the corresponding values for thermo-camera (TC) were 83% and 55%, respectively. Using a combined diagnostic approach of PG and TP, additional evaluation of posterior and lateral profiles and pattern recognition, 96% sensitivity and 81% specificity were reached. The combination of PG and TP will be an essential diagnostic complement when venography is not possible or inconclusive, as well as having a role in diagnostic screening in a large number of patients.

摘要

对102例疑似深静脉血栓形成（DVT）的患者，将一种体积描记法和两种热成像方法与静脉造影术进行了对比评估。71例患者经静脉造影证实患有DVT，其中21例局限于小腿。体积描记法（PG）的敏感性和特异性分别为63%和94%。在远端DVT亚组中，前者受限于14%的低敏感性。温度曲线（TP）的敏感性和特异性分别为87%和39%，而热像仪（TC）的相应值分别为83%和55%。采用PG和TP的联合诊断方法，对后侧和外侧曲线进行额外评估并结合模式识别，敏感性达到96%，特异性达到81%。当无法进行静脉造影或结果不确定时，PG和TP的联合将是一种重要的诊断补充手段，并且在大量患者的诊断筛查中也能发挥作用。