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超声评估深静脉血栓形成的临床疑似病例：放射科医生解读的重要见解

Ultrasound evaluation of clinical mimics of deep vein thrombosis: essential insights for radiologists in interpretation.

作者信息

Im Dongsuk, Kwon Lyo Min, Park Sun Young, Park Min Su, Hong Won Ju

机构信息

Department of Radiology, Hallym University Sacred Heart Hospital, Anyang, Korea.

Department of Radiology, Asan Medical Center, Seoul, Korea.

出版信息

Ultrasonography. 2025 May;44(3):171-188. doi: 10.14366/usg.24120. Epub 2024 Dec 9.

DOI:10.14366/usg.24120
PMID:39843886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12081133/
Abstract

Ultrasonography (US) is a sensitive and radiation-free technique for diagnosing deep vein thrombosis (DVT). Therefore, when DVT is clinically suspected but not detected on US, radiologists should consider a range of alternative differential diagnoses. This review article presents the imaging findings of clinical conditions that mimic DVT, which can be distinguished using a multimodal radiologic approach. Additionally, DVT mimics can be categorized into two groups based on whether a flat or normal waveform is observed on Doppler US. This article details the imaging findings and clinical presentations of DVT mimics, organized by these classifications. This information may help radiologists make more accurate diagnoses, enabling patients to receive appropriate treatment in a timely manner.

摘要

超声检查（US）是一种用于诊断深静脉血栓形成（DVT）的敏感且无辐射的技术。因此，当临床上怀疑有DVT但超声检查未检测到时，放射科医生应考虑一系列其他鉴别诊断。这篇综述文章介绍了模拟DVT的临床病症的影像学表现，可通过多模态放射学方法进行区分。此外，根据在多普勒超声上观察到的波形是平坦还是正常，DVT模拟病症可分为两组。本文详细介绍了按这些分类组织的DVT模拟病症的影像学表现和临床表现。这些信息可能有助于放射科医生做出更准确的诊断，使患者能够及时接受适当的治疗。

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