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二维彩色多普勒血流显像检测下肢慢性静脉瓣功能不全
引用本文:查长松,赵玉华,黄晓云,隋向梅,黄静,徐树荣.二维彩色多普勒血流显像检测下肢慢性静脉瓣功能不全[J].中国超声医学杂志,1998(6).
作者姓名:查长松  赵玉华  黄晓云  隋向梅  黄静  徐树荣
作者单位:山东莱阳市济南军区第145医院特检科,上海市第二军医大学长海医院
摘    要:为探讨二维彩色多普勒血流显像(2D-CDFI)检测下肢慢性静脉瓣功能不全(CVI)的价值,26例30条CVI下肢静脉进行了2D-CDFI和静脉穿刺造影检查。结果表明:CVI下肢静脉和静脉瓣形态失常,乏氏法和挤压法后异常静脉节段显示逆向彩色血流和返流频谱。以逆向彩色血流或返流时间>0.5秒做为诊断静脉瓣返流的标准,其敏感性分别为74.2%、95.6%,特异性88.5%、69.2%和准确性77.3%、89.1%。本文提示2D-CDFI是评价CVI有价值的实用方法

关 键 词:慢性静脉瓣功能不全  静脉瓣返流  彩色多普勒血流显像  静脉造影

Chronic Venous Insufficiency in Lower Limbs Examined by Two Dimensional Color Doppler Flow Imaging
Zha Changsong,Zhao Yuhua,Huang Xiaoyun,et al.Chronic Venous Insufficiency in Lower Limbs Examined by Two Dimensional Color Doppler Flow Imaging[J].Chinese Journal of Ultrasound in Medicine,1998(6).
Authors:Zha Changsong  Zhao Yuhua  Huang Xiaoyun  
Institution:Zha Changsong,Zhao Yuhua,Huang Xiaoyun,et al The 145th Hospital of PLA,Shandong Laiyang 265200
Abstract:To diagnose chronic venous insufficiency(CVI)of the lower limbs,two dimensional color Doppler flow imaging was used and compared with popliteal venous puncture phlebography in 30 cases.Results:Venous vessels and its valvular morphology were abnormal.Color Doppler demonstrated retrograde color flow signals.Doppler spectra displayed reversal flow during Valsalva test and compression maneuver applied on the abnormal venous segments.Retrograde color flow signal or reflux time>0 5 sec was regarded as the criterion for diagnosing venous valvular reflux.The sensitivities of these two conducts above mentioned were 74 2%,95 6%,specificities 88 5%,69 2% and accuracies 77 3%,89 1%.accordingly.
Keywords:Chronic venous insufficiency  Venous valvular reflux  Color Doppler flow imaging  Phlebography  
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