Dany F, Kim M, Roulet M D
J Chir (Paris). 1982 Feb;119(2):123-33.
The venous disease study by Doppler ultrasound technique provides a precious help to its diagnosis because the dubiousness and limits of clinical examination. The main indications of Doppler ultrasound deep veins examination are: --early diagnosis of thrombophlebitis, venous insufficiency and arterio-venous fistulae. --a non invasive monitoring of medical or surgical treatment of venous pathology and best appreciation of venous return in right heart cardiopathies, respiratory disease and abdominal surgery. --help in central venous catheterization. The sensibility of Doppler ultrasound in venous thrombosis is 86.5% and its specificity 91% in a study of 110 patients with comparison Doppler-venography. These results quite comparable with other studies, indicate a poor sensibility for the diagnosis of distal thrombi or partially occluding clots. In association with other non invasive examination Doppler ultrasound allows a better indication of phlebography in the detection of thrombophlebitis in high risk patients as well as a post operative survey with high sensitivity and good efficiency.
通过多普勒超声技术进行的静脉疾病研究，因其临床检查的不确定性和局限性，为其诊断提供了宝贵的帮助。多普勒超声对深静脉检查的主要适应证为：——血栓性静脉炎、静脉功能不全和动静脉瘘的早期诊断。——对静脉疾病的药物或手术治疗进行无创监测，并能更好地评估右心疾病、呼吸系统疾病和腹部手术中的静脉回流情况。——辅助中心静脉置管。在一项对110例患者进行的多普勒超声与静脉造影对比研究中，多普勒超声对静脉血栓形成的敏感性为86.5%，特异性为91%。这些结果与其他研究相当，表明其对远端血栓或部分阻塞性血栓的诊断敏感性较差。与其他无创检查相结合，多普勒超声在高危患者血栓性静脉炎的检测中能更好地指导静脉造影，并且术后复查具有高敏感性和良好的有效性。
