肢体深静脉血栓形成215例分析

目的分析２１５例深静脉血栓形成（ＤＶＴ）患者的Ｘ线表现及其与临床表现的关系。材料和方法患肢行常规顺行静脉造影，比较所显示的病变与临床表现的关系。结果造影表现以闭塞为主，各种Ｘ线表现可同时存在，并提示不同的临床意义。再通均从远端向近端发展，闭塞存在时间和再通出现早晚个体差异很大。ＤＶＴ最易源于髂股静脉，少数肢体呈节段性病变。结论Ｘ线表现反映ＤＶＴ的发生发展规律和临床症治关系，作者把跳跃式病变另列一型———节段型。

Analysis of deep venous thrombosis 215 cases Shanghai Sixth People's Hosptal

Objective To evaluate the relationship between venography and clinical manifestations in 215 patients with DVT.Materials and Methods The mean age of patients (129 males and 86 females) was 45 years. Routine ascending venography was performed in all 215 cases. Results Occlusions were the main findings of involved veins. Some cases often co existed with various types of X ray findings which corresponded to clinical menifestations. Recanalization of the involved veins in all cases often occured from the distal part to the proximal segment of involved veins. The time relationship between the duration of occlusion and recanalization was different in each individual. DVT was often starting in iliac femoral veins for our cases, sometimes with multiple segments.Conclusions X ray findings could reflect some characteristics of DVT and provide information for clinical management. In addition, multiple segment lesions could be a special type of DVT.