腿部肿胀：非血栓形成原因的超声表现

Bell J M, Ross F G, Mackenzie S, Goddard P R

Postgrad Med J. 1985 Jan;61(711):23-7. doi: 10.1136/pgmj.61.711.23.

Grey-scale ultrasound is a useful investigation in selected patients with a painful swollen leg. It is of particular value in cases in which there is a clinical suspicion of deep vein thrombosis (DVT) but other features, such as an atypical history or equivocal radiology, suggest alternative pathology. Five such cases are presented in which ultrasound showed transonic lesions. The cause of the swelling of the leg was thus shown to be "cystic' in nature and therefore not due to DVT. This enabled inappropriate and potentially harmful therapy to be avoided and the correct therapy, such as surgical drainage, to be undertaken.

对于腿部疼痛肿胀的特定患者，灰阶超声是一种有用的检查方法。在临床怀疑有深静脉血栓形成（DVT）但存在其他特征（如不典型病史或影像学表现不明确）提示可能存在其他病理情况的病例中，它具有特别的价值。本文介绍了5例这样的病例，超声显示有跨声病变。结果表明，腿部肿胀的原因本质上是“囊性的”，因此并非由DVT引起。这避免了不恰当且可能有害的治疗，并采取了正确的治疗方法，如手术引流。