Painter T D
Angiology. 1980 Jun;31(6):386-97. doi: 10.1177/000331978003100603.
A review of the extensive literature on the diagnosis of deep vein thrombophlebitis (DVT) is presented. DVT affects approximately 10% of all patients with superficial thrombophlebitis. Many authors have shown that the clinical finding of DVT are unreliable. Although pulmonary emboli are relatively frequent in all patients with calf DVT, these emboli are generally not associated with clincial events. Venography is the "gold standard" of diagnostic tests, but it is too cumbersome to be practical as a screening procedure. Radioisotope-labeled fibrinogen is reasonable accurate in diagnosing calf DVT, but much less so in proximal lesions. The results of Doppler ultrasound and impedance plethysmography (IPG) agree with those of venography in 90% of the cases of proximal DVT.
本文对关于深静脉血栓性静脉炎（DVT）诊断的大量文献进行了综述。DVT在所有浅静脉血栓性静脉炎患者中约占10%。许多作者已表明，DVT的临床发现并不可靠。尽管在所有小腿DVT患者中肺栓塞相对常见，但这些栓塞通常与临床事件无关。静脉造影是诊断检查的“金标准”，但作为一种筛查程序，它过于繁琐而不实用。放射性同位素标记的纤维蛋白原在诊断小腿DVT方面相当准确，但在近端病变中准确性要低得多。在90%的近端DVT病例中，多普勒超声和阻抗体积描记法（IPG）的结果与静脉造影的结果一致。
