Dauzat M M, Laroche J P, Charras C, Blin B, Domingo-Faye M M, Sainte-Luce P, Domergue A, Lopez F M, Janbon C
J Ultrasound Med. 1986 Nov;5(11):625-31. doi: 10.7863/jum.1986.5.11.625.
In order to evaluate the usefulness of B-mode ultrasonography in the diagnosis of deep vein thrombosis, a prospective study was performed on 145 patients. Each patient was examined with occlusive venous plethysmography, continuous wave Doppler, real-time B-mode ultrasonography, and radiographic contrast phlebography. The diagnostic sensitivity and specificity versus phlebography were 91 and 82.1 per cent, respectively, for plethysmography, 92 and 86.6 per cent for Doppler, and 94 and 100 per cent for B-mode sonographic scanning. The combined noninvasive approach reached a 96 per cent sensitivity. B-mode ultrasonography demonstrated a mass in eight cases, and showed a superficial venous thrombosis in four cases, among the 45 patients without deep vein thrombosis. B-mode ultrasonography, therefore, appears to be very useful in obtaining a better specificity and differential diagnosis.
为评估B型超声检查在诊断深静脉血栓形成中的作用，对145例患者进行了一项前瞻性研究。每位患者均接受了闭塞性静脉体积描记法、连续波多普勒检查、实时B型超声检查以及静脉造影检查。与静脉造影相比，体积描记法的诊断敏感性和特异性分别为91%和82.1%，多普勒检查为92%和86.6%，B型超声扫描为94%和100%。联合非侵入性检查方法的敏感性达到了96%。在45例无深静脉血栓形成的患者中，B型超声检查发现8例有肿块，4例有浅静脉血栓形成。因此，B型超声检查在提高特异性和鉴别诊断方面似乎非常有用。
