Cappeliez O, Peetrons P, Creteur V
Hôpital de Braine-l'Alleud-Waterloo, Braine-l'Alleud.
Rev Med Brux. 1996 Jun;17(3):127-31.
The diagnosis of lower limb deep vein thrombosis requires to use of complementary diagnostic tests. For a long time phlebography has been the only reliable examination and is always regarded as the gold standard by many people. In recent years, non invasive diagnostic modalities have been developed. Most significantly scintigraphy, plethysmography, color Doppler ultrasound and MR imaging. MRI is as reliable as venography but, at the present time, it is time-consuming and far less available than the other modalities. Scintigraphy and plethysmography may be useful but are less accurate and yield a somewhat higher rate of false positive and negative examinations. Color Doppler ultrasound has proved its effectiveness and is currently recommended as the diagnostic modality of choice. Venography is still a significant diagnostic tool for questionable cases or for technically inadequate Doppler ultrasound examinations.
下肢深静脉血栓形成的诊断需要使用辅助诊断测试。长期以来，静脉造影一直是唯一可靠的检查方法，并且一直被许多人视为金标准。近年来，已开发出非侵入性诊断方法。最显著的是闪烁扫描、体积描记法、彩色多普勒超声和磁共振成像。磁共振成像与静脉造影一样可靠，但目前它耗时且远不如其他方法普及。闪烁扫描和体积描记法可能有用，但准确性较低，假阳性和假阴性检查率略高。彩色多普勒超声已证明其有效性，目前被推荐为首选诊断方法。静脉造影对于可疑病例或技术上不充分的多普勒超声检查仍是一种重要的诊断工具。
