一种简单的超声波方法来检测复发的近道静脉血栓形成
P Prandoni1, A Cogo, E Bernardi
1Department of Patologia Medica II University, Italy.
Circulation
|October 1, 1993
概括
连续超声波测量可以通过追踪血栓回归来准确识别复发性深静脉血栓 (DVT). 这种方法有助于在初步诊断后检测DVT复发.
科学领域:
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
- 医学超声波 医学超声波
背景情况:
- 深静脉血栓症 (DVT) 的管理需要监测血栓回归和检测复发.
- 目前评估DVT进展和复发的方法可以得到改进.
研究的目的:
- 开发一种简单的超声波方法,用于测量近端DVT患者的血栓回归.
- 评估这种超声波方法在检测DVT复发中的实用性.
主要方法:
- 一项横截面调查和一项前性调查,分别涉及149名和145名患者.
- 使用压缩性标准 (C-US方法) 评估正常化速率.
- 测量了血栓厚度的序列 (1,3,6,12个月),并将可疑复发的发现与对比性流血图进行了比较.
主要成果:
- 超声波测试正常化 (完全可压缩性) 在1年内仅发生在30%的患者中.
- 观察到显著的血栓质量减少,在前3个月内减少了50%以上.
- 组合超声波方法 (C-US + 血栓厚度) 证明了对近距离DVT复发的100%灵敏度和特异性,适用于所有患者.
结论:
- 血栓质量的连续超声波测量有效地识别了复发近道静脉血栓症的患者.
- 这种方法提供了一个可靠的,非侵入性的工具,用于监测DVT患者的急性发作后.
相关概念视频
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...


