Akesson H, Cwikiel W, Dahlström J A, Ohlin P, Eklöf B, Plate G
Department of Surgery, Heslingborg Hospital, Sweden.
Int Angiol. 1989 Jan-Mar;8(1):22-7.
Radionuclide angiography (RNA), was compared to contrast phlebography (CP) for evaluation of iliofemoral venous patency. Twenty-three patients that six months earlier had been treated for iliofemoral venous thrombosis were investigated. The reproducibility of RNA was good as the interindividual and intraindividual variation was 80-85% and 90-95% respectively. The sensitivity of RNA was 91% in the iliac and 65% in the femoral segment. The specificity was 78% in the iliac and 74% in the femoral segment. The advantages as compared to CP are: easy performance, easy to repeat, no adverse reactions and visualization of the whole venous system. The disadvantages are: e.g. difficulties in interpretation in bilateral disease or abnormal anatomy. RNA is recommended as a screening method for suspected iliac venous obstruction and for follow-up of venous patency after iliofemoral venous thrombosis.
为评估髂股静脉通畅情况，对放射性核素血管造影（RNA）和静脉造影（CP）进行了比较。对23例6个月前接受过髂股静脉血栓治疗的患者进行了研究。RNA的可重复性良好，个体间和个体内变异分别为80 - 85%和90 - 95%。RNA在髂静脉段的敏感性为91%，在股静脉段为65%。特异性在髂静脉段为78%，在股静脉段为74%。与CP相比，其优点是：操作简便、易于重复、无不良反应且能显示整个静脉系统。缺点是：例如在双侧疾病或解剖结构异常时难以解读。推荐将RNA作为疑似髂静脉阻塞的筛查方法以及髂股静脉血栓形成后静脉通畅情况的随访方法。
