Wani Mohd Lateef, Sheikh Mohamad Tufail, Irshad Ifat, Ahangar Abdul Gani, Ganie Farooq Ahmad, Sheikh Mohd Tafazul, Wani Shadab Nabi
Department of Cardiovascular and Thoracic Surgery, SheriKashmir Institute of Medical Sciences, Srinagar, India.
Department of Radiodiagnosis, Sheri Kashmir Institute of Medical Sciences, Srinagar, India.
Int Cardiovasc Res J. 2014 Jan;8(1):15-7. Epub 2014 Jan 1.
Vascular injury poses a serious threat to limb and life. Thus, diagnosis should be made immediately with minimally invasive methods. Doppler is a good aid in diagnosis of vascular injury.
The present prospective study was conducted on 150 patients who presented with soft signs (the signs which are suggestive but not confirmatory) of vascular injury. They were subjected to color Doppler examination before exploration. The patients with the features of vascular injury on color Doppler were subjected to exploration. On the other hand, those who had normal Doppler were subjected to CT- angiography. Then, the findings of the exploration were matched with those of color Doppler. The data were analyzed using the SPSS statistical software.
Out of the 150 Doppler examinations, 110 (73.33%) were reported as positive, while 40 were reported as negative for vascular injury. These were subjected to CT-angiography and seven of them had the features of vascular injury on CT-angiography. All the patients with positive Doppler or CT angiography findings were subjected to exploration. Doppler had a sensitivity of 94% and specificity of 82.5% in diagnosis of vascular injury using Binary classification test.
Color Doppler is an easily available, reliable, and handy method of diagnosing a vascular injury. It has a very high sensitivity and specificity in diagnosis of vascular injuries.
血管损伤对肢体和生命构成严重威胁。因此，应采用微创方法立即进行诊断。多普勒超声对血管损伤的诊断有很大帮助。
本前瞻性研究对150例出现血管损伤软体征（提示但不能确诊的体征）的患者进行。在进行探查前，他们接受了彩色多普勒检查。彩色多普勒显示有血管损伤特征的患者接受探查。另一方面，那些多普勒超声检查正常的患者接受CT血管造影。然后，将探查结果与彩色多普勒检查结果进行对比。使用SPSS统计软件对数据进行分析。
在150次多普勒检查中，110例（73.33%）报告为血管损伤阳性，40例报告为阴性。这些患者接受了CT血管造影，其中7例在CT血管造影上有血管损伤特征。所有多普勒超声或CT血管造影检查结果阳性的患者均接受了探查。使用二元分类检验，多普勒超声在诊断血管损伤时的敏感性为94%，特异性为82.5%。
彩色多普勒超声是一种易于获得、可靠且便捷的血管损伤诊断方法。它在诊断血管损伤方面具有很高的敏感性和特异性。
