Schweizer J, Oehmichen F, Brandl H G, Altmann E
Angiologische Abteilung, Städtischen Klinikums, Dresden-Friedrichstadt.
Vasa. 1993;22(1):22-5.
Even with highly developed ultrasound systems, diagnosis of deep leg vein thrombosis is difficult in lower leg veins and in the area of the adductor channel. In order to evaluate color duplex-sonography, contrast media duplex-sonography and phlebography in comparison, 79 patients (38 men and 40 women aged 54 to 89) with deep leg vein thrombosis were examined. As a result, patients suffering from thrombosis were characterized by a vein-artery quotient of > 2.0 (p < 0.01). In color Doppler duplex-sonography false negative findings occurred in 12 cases of lower leg vein thrombosis and in 3 cases of thrombosis within the adductor channel. By contrast media duplex-sonography the diagnostic reliability could be increased to a sensitivity of over 95 per cent.
即便使用高度发达的超声系统，在小腿静脉及内收肌管区域诊断下肢深静脉血栓仍很困难。为了比较彩色双功超声、造影剂双功超声和静脉造影，对79例（38例男性和40例女性，年龄54至89岁）下肢深静脉血栓患者进行了检查。结果显示，血栓形成患者的静脉动脉商>2.0（p<0.01）。在彩色多普勒双功超声检查中，小腿静脉血栓有12例出现假阴性结果，内收肌管内血栓形成有3例出现假阴性结果。通过造影剂双功超声检查，诊断可靠性可提高到95%以上的敏感性。
