再発性近親静脈血栓の検出のための単純な超音波アプローチ
P Prandoni1, A Cogo, E Bernardi
1Department of Patologia Medica II University, Italy.
Circulation
|October 1, 1993
まとめ
連続超音波測定は,血栓の回帰を追跡することによって,再発性深静脈栓塞 (DVT) を正確に特定することができます. この方法は,初期診断後にDVT再発を検出するのに役立ちます.
科学分野:
- 血管医学 血管医学とは
- 診断用イメージング
- 医療用超音波検査について
背景:
- 深静脈血栓症 (DVT) の管理には,血栓の回帰をモニタリングし,再発を検出する必要があります.
- DVTの進行と再発を評価する現在の方法は改善することができます.
研究 の 目的:
- 近親DVT患者の血栓回帰を測定するための単純な超音波方法を開発する.
- DVT再発を検出するためのこの超音波法の有用性を評価する.
主な方法:
- 149人,145人の患者を対象とした横断調査と前向きな調査を行いました.
- 圧縮性基準 (C-US方法) を用いて評価された正常化率.
- 血栓の厚さを連続的に測定 (1,3,6,12ヶ月) し,再発の疑いのある結果をコントラスト・フレボグラフィーと比較した.
主要な成果:
- 1年以内に超音波検査の正常化 (完全な圧縮性) は,患者の30%のみで発生しました.
- トロンブスの質量の大幅な減少が観察され,最初の3ヶ月以内に50%以上減少しました.
- 併用超音波法 (C-US + 血栓の厚さ) は,近親DVT再発に対する100%の感度と特異性を実証し,すべての患者で適用できます.
結論:
- 血栓質量の連続超音波測定は,再発性近親静脈血栓症の患者を特定するのに有効です.
- このアプローチは,急性エピソード後のDVT患者をモニタリングするための信頼性の高い非侵襲的ツールを提供します.
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