彩色多普勒超声对小腿三头肌内静脉扩张的诊断价值

目的探讨彩色多普勒超声对小腿三头肌内静脉扩张的诊断价值。方法选择72例疑为下肢深静脉病变的患者，其中男性32例，女性40例；年龄28-92岁，平均年龄56岁。应用彩色多普勒超声检查小腿三头肌内静脉（包括比目鱼肌静脉及腓肠肌静脉），测量其管径，观察管腔内透声及血流情况，探查其交通支的情况。结果共检出小腿三头肌内静脉受累患肢72条，单纯小腿三头肌内静脉扩张32例（44．4％），合并血栓16例（22．2％），合并交通静脉扩张24例（33.3％）。结论彩色多普勒超声能够有效地检出小腿三头肌内静脉扩张及血栓、其交通支情况。是超声检查下肢深静脉时不容忽视的重要内容。

Diagnosis Value of color Doppler ultrasonography phlebectasia in triceps surae

Objective To investigate diagnosis value of color Doppler uhrasonography phlebectasia in triceps surae. Methods A total of 72 patients with inspected veins in triceps were enrolled, male 32, female 40, aged 28 - 92 years old, mean age 56 years old. The color Doppler uhrasonography was performed to inspect veins in triceps muscle（included soleus and gastrocnemius vein） and measured the diameters. The endovascular sound transmission and blood flow were observed and inspected the perforating veins. Results A total of 72 cases of the veins in triceps muscle were checked out, 32 cases（44.4 %） of simple triceps surae phlebectasia, 16 cases of combined thrombosis, 24 cases of combined communicating branch phlebectasia. Conclusion It is demonstrated that the color Doppler ultrasound could be effective in detection phlebectasia in triceps surae, thrombosis and perforating veins, it is an crucial content of ultrasound examination for deep veins.