Gongolo A, Giraldi E, Spreafico G, Baccaglini U
Servizio di Radiologia, Presidio Ospedaliero, Dolo, Venezia.
Radiol Med. 1994 May;87(5):628-31.
The lower limbs of 84 consecutive patients (48 women and 36 men, age range: 16-75 years, average: 38 years) suffering from acute aching calf symptoms were examined with conventional and color Doppler US. Thirteen cases of muscular thrombosis in the calf were observed, together with 19 cases of deep venous thrombosis, 7 post-phlebitic syndromes, 9 lymphatic obstructions, 6 muscular hematomas and 7 popliteal articular cysts. Case history, clinical signs and phlebography do not allow the former condition to be differentiated definitely from the latter ones--especially hematomas and Baker's cysts which require different treatment protocols. The authors stress the value of conventional and color Doppler US imaging in the aching calf syndrome for its differential diagnostic capabilities. The other more complicated and expensive radiologic and laboratory techniques should be used in case of negative US findings only.
对84例（48名女性和36名男性，年龄范围：16 - 75岁，平均38岁）患有小腿急性疼痛症状的患者的下肢进行了传统超声和彩色多普勒超声检查。观察到13例小腿肌肉血栓形成，19例深静脉血栓形成，7例静脉炎后综合征，9例淋巴梗阻，6例肌肉血肿和7例腘窝关节囊肿。病史、临床体征和静脉造影不能明确区分前一种情况与后几种情况——尤其是血肿和贝克囊肿，它们需要不同的治疗方案。作者强调传统超声和彩色多普勒超声成像在小腿疼痛综合征中的鉴别诊断价值。仅在超声检查结果为阴性的情况下才应使用其他更复杂且昂贵的放射学和实验室技术。
