Value of Color Doppler Ultrasonography and Plasma D-Dimer in Diagnosis of Lower Limb Venous Thrombosis
- VernacularTitle:血浆D-二聚体检测与彩色多普勒超声在下肢深静脉血栓诊断中的临床意义
- Author:
Bing ZHU
;
Guanglei TIAN
;
Xiaohu GE
- Publication Type:Journal Article
- Keywords:
Deep venous thrombosis;
D-dimer;
Color Doppler ultrasonography;
Phlebography
- From:
Chinese Journal of Bases and Clinics in General Surgery
2008;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of color Doppler ultrasonography and plasma D-dimer in diagnosis of lower limb deep venous thrombosis (DVT).Methods The clinical data of 70 cases of patients with lower limb DVT diagnosed clinically were retrospectively studied.The lower limb venous of each patient was examined by color Doppler ultrasonography and the plasma level of D-dimer were measured,furthermore the plasma levels of D-dimer in different phase and different type of thrombosis were compared.Results The sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of plasma D-dimer and ultrasonography examination in lower limb DVT were 100%,66.7%,97.0%,100%,and 97.1%,and 98.4%,83.3%,98.4%,83.3%,and 97.1%,respectively.The plasma D-dimer in acute phase 〔(6 451?4 012.22) ?g/L〕 and subacute phase 〔(2 063?1831.35) ?g/L〕 of lower limb venous thrombosis were significantly higher than that in normal control group 〔(310?66.70) ?g/L〕,P