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下肢静脉血栓形成的闪烁扫描

Scintiscanning in venous thrombosis of the lower extremities.

作者信息

Cordoba A, Figueras N, Garcia R

出版信息

Surg Gynecol Obstet. 1977 Oct;145(4):533-8.

PMID:897975
Abstract

Venous scintiscanning was performed once or serially in 252 patients in whom deep vein thrombosis of the lower extremities was suspected, representing a total of 494 limbs examined and 1,266 venous scintiscans performed. When controlled with roentgenologic contrast phlebography, the diagnostic accuracy rate of the isotopic method was 94.4 per cent, which increased up to 98.5 per cent when the thrombotic process was located in a major vein of the upper thigh or pelvis. There were 5.6 per cent false-positive and no false-negative diagnoses. The parameters that we have considered to be the most significant for the accurate interpretation of venous scintiscanning of the lower extremities are mentioned. Venous scintiscanning is a safe, simple and highly reliable method for the study of deep venous thrombotic disease of the lower extremitites.

摘要

对252例疑似下肢深静脉血栓形成的患者进行了一次或多次静脉闪烁扫描,共检查了494条肢体,进行了1266次静脉闪烁扫描。与X线造影静脉造影对照时,同位素方法的诊断准确率为94.4%,当血栓形成过程位于大腿上部或骨盆的主要静脉时,该准确率可提高至98.5%。假阳性诊断率为5.6%,无假阴性诊断。文中提到了我们认为对准确解释下肢静脉闪烁扫描最为重要的参数。静脉闪烁扫描是一种用于研究下肢深静脉血栓形成疾病的安全、简单且高度可靠的方法。

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