Pillari G, Zito J, Chang J B, Cohen J R, Greenspan B, Gersten K, Wenig P, Lewin B, Rizzo A
Department of Radiology, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
Cardiovasc Intervent Radiol. 1987;10(5):261-3. doi: 10.1007/BF02578005.
In 21 patients who had lower extremity swelling and negative venography, radiographic evaluation was extended to include computerized tomography (CT) of the lower extremity, which we have termed venography-CT, or VCT. All patients were referred with the diagnosis of deep vein thrombosis (DVT) and no patient had a history of trauma. CT was effective in demonstrating two occult mechanisms of lower extremity swelling: knee joint effusion (three patients) and intramuscular hemorrhage (five patients). Selective utilization of CT in the evaluation of lower extremity swelling is effective in directing the clinical management of these patients.
在21例下肢肿胀且静脉造影阴性的患者中，影像学评估扩展至包括下肢计算机断层扫描（CT），我们将其称为静脉造影CT，即VCT。所有患者均因深静脉血栓形成（DVT）诊断前来就诊，且无一例患者有外伤史。CT在显示下肢肿胀的两种隐匿机制方面有效：膝关节积液（3例患者）和肌肉内出血（5例患者）。在评估下肢肿胀时选择性使用CT可有效指导这些患者的临床管理。
