静脉阻塞的静脉血流图诊断
Phleborheographic diagnosis of venous obstruction.
作者信息
Collins G J, Rich N M, Andersen C A, McDonald P T, Kozloff L
出版信息
Ann Surg. 1979 Jan;189(1):25-8. doi: 10.1097/00000658-197901000-00005.
Between February 1977 and May 1978, phleborheograms were done on 328 extremities. Interpretable tracings were obtained in 322 (98.2%). Results were positive for 102 extremities, negative for 220 extremities, and equivocal or uninterpretable for six extremities. Phlebograms as well as phleborheograms were done in 64 extremities. Phlebograms were positive in 41 and negative in 23. The overall agreement between the interpretations of the phlebograms and phleborheograms was 95.3%. The phleborheogram was positive in each case in which the phlebogram was positive. In three cases with negative phlebograms the phleborheogram was positive. Thus, the sensitivity was 100%, and the specificity was 87%. Phelborheography is a useful ajunct to the diagnosis of venous obstruction. It has a high degree of sensitivity (100% in our experience). Clinical correlation is necessary to determine the most likely cause of venous obstruction in individual cases.
1977年2月至1978年5月期间，对328条肢体进行了静脉血流图检查。322条肢体（98.2%）获得了可解释的记录。结果为阳性的有102条肢体，阴性的有220条肢体，6条肢体结果不明确或无法解释。对64条肢体进行了静脉造影以及静脉血流图检查。静脉造影阳性41例，阴性23例。静脉造影和静脉血流图检查结果的总体一致性为95.3%。静脉造影阳性的每一例中静脉血流图均为阳性。在3例静脉造影阴性的病例中静脉血流图为阳性。因此，敏感性为100%，特异性为87%。静脉血流图检查是诊断静脉阻塞的有用辅助手段。它具有高度的敏感性（根据我们的经验为100%）。在个别病例中，需要结合临床来确定静脉阻塞最可能的原因。
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