Vaccaro P, Van Aman M, Miller S, Fachman J, Smead W L
Angiology. 1987 Mar;38(3):232-5. doi: 10.1177/000331978703800305.
Accuracy in the diagnosis of lower extremity deep venous thrombosis (DVT) by physical examination and impedance plethysmography (IPG) is reviewed. Physical examination proved unreliable in distinguishing patients with and without acute disease. Swelling in the leg was, however, more prevalent in patients with DVT. The sensitivity and specificity of IPG were less than those reported by other groups. Venography remains the most reliable diagnostic procedure in our institution.
对通过体格检查和阻抗体积描记法(IPG)诊断下肢深静脉血栓形成(DVT)的准确性进行了综述。体格检查在区分患有和未患有急性疾病的患者方面被证明不可靠。然而,腿部肿胀在DVT患者中更为普遍。IPG的敏感性和特异性低于其他研究组报告的结果。在我们机构,静脉造影仍然是最可靠的诊断方法。