Biondetti P R, Vigo M
Servizio di Radiologia, Ospedale di Treviglio, Bergamo.
Radiol Med. 1993 May;85(5 Suppl 1):260-6.
The roles of US and venography in the evaluation of the patients with clinical suspicion of deep venous thrombosis are discussed relative to personal and literature data. The patients were divided into three groups: outpatients with previous history of venous thrombosis (group I), inpatients without previous history of venous thrombosis (group II) and patients with suspected recurrent venous thrombosis (group III). In group I, compression US yielded very good results: so much so that it can replace venography. In this group of patients, pulsed Doppler added no significant information, while color-Doppler appeared to be a valuable technique. As for the other two groups, venography was confirmed as the most useful technique, even though MR imaging is likely to play, in the future, an important role, since it allows better demonstration of the central thrombus, especially in diffuse occlusive thromboses.
结合个人经验和文献资料,探讨了超声(US)和静脉造影在评估临床怀疑深静脉血栓形成患者中的作用。患者被分为三组:有静脉血栓形成既往史的门诊患者(I组)、无静脉血栓形成既往史的住院患者(II组)和疑似复发性静脉血栓形成的患者(III组)。在I组中,压迫超声取得了非常好的结果:好到足以替代静脉造影。在这组患者中,脉冲多普勒未提供显著信息,而彩色多普勒似乎是一种有价值的技术。至于其他两组,静脉造影被确认为最有用的技术,尽管磁共振成像(MR)将来可能发挥重要作用,因为它能更好地显示中央血栓,尤其是在弥漫性闭塞性血栓形成中。