下肢深静脉血栓辨证分型与超声表现的相关性

目的探讨下肢深静脉血栓辨证分型与超声表现之间的关系.方法根据辨证将96例患者分为3组:第1组为脉络湿热型;第2组为脉络湿瘀型,第3组为脾虚湿阻型.观察每组的超声表现.结果各组间在管腔直径、管腔内回声、彩色血流信号、管壁变化等方面差异有显著意义(P＜0.05).结论下肢深静脉血栓的辨证分型与超声表现之间有相关性,超声检查对下肢深静脉血栓的中医诊断及治疗有重要意义.

Correlation between syndrome differentiation-classification and ultrasonic display of thrombus in deep veins of lower limb

Objective To study the relationship between the syndrome differentiation-classification and ultrasonic display of thrombus in deep veins of lower limb. Method To divide 96 patients into 3 groups according to the syndrome differentiation. Group 1 was diagnosed as the type of dampness-heat in channels and collaterals, group 2, the type of stagnant dampness in channels and collaterals and group 3, the type of spleen insufficiency with damp retention. The ultrasonic displays in three groups were observed respectively. Result The differences were significant (P<0.05) in vascular diameter, intraluminal echo, color blood flow signals and vascular wall changes between three groups. Conclusion The syndrome differentiation-classification of thrombus in deep veins of lower limb is correlated to ultrasonic display. Ultrasonic examination is important in the diagnosis and treatment of thrombus in deep veins of lower limb with Chinese medicine.