超声弹性成像对下肢深静脉血栓形成分期中的应用价值

刘琦; 郭瑞君

您当前的位置：

首页 >

文章列表页 >

超声弹性成像对下肢深静脉血栓形成分期中的应用价值

临床研究 | 更新时间：2023-10-11

- 超声弹性成像对下肢深静脉血栓形成分期中的应用价值
- Diagnostic efficacy of ultrasound elastography in staging deep venous thrombosis of lower extremities
- 临床超声医学杂志 2023年25卷第8期
- 作者机构：
  
  首都医科大学附属北京朝阳医院
- 作者简介：
- 基金信息：
- DOI：
  中图分类号：
- 纸质出版日期：2023，
  
  网络出版日期：2023-8-30，
扫描看全文
刘琦, 郭瑞君. 超声弹性成像对下肢深静脉血栓形成分期中的应用价值[J]. 临床超声医学杂志, 2023,25(8).

Diagnostic efficacy of ultrasound elastography in staging deep venous thrombosis of lower extremities[J]. Journal of Clinical Ultrasound in Medicine, 2023,25(8).
刘琦, 郭瑞君. 超声弹性成像对下肢深静脉血栓形成分期中的应用价值[J]. 临床超声医学杂志, 2023,25(8). DOI：

Diagnostic efficacy of ultrasound elastography in staging deep venous thrombosis of lower extremities[J]. Journal of Clinical Ultrasound in Medicine, 2023,25(8). DOI：

摘要

目的：探析超声弹性成像对下肢深静脉血栓形成分期中的诊断效能。方法：选择2020年1月-2022年6月，本院收治的110例下肢深静脉血栓患者（观察组）和同期100例健康体检者（对照组）作为研究对象，均接受超声弹性成像检查。比较两组的超声弹性成像检查结果，Logistic回归分析法探析超声弹性成像各项检查指标与下肢深静脉血栓分期的关系，Pearson相关分析法探析弹性成像与实验室相关参数的关系，绘制受试者工作特征（ROC）曲线分析超声弹性成像在下肢深静脉血栓形成分期中的诊断效能。结果：观察组血栓检出人数占比及超声弹性评分均高于对照组，差异有统计学意义（P<0.05）。急性期患者的超声弹性评分、杨氏模量平均值低于亚急性期、慢性期；Logistic回归分析得，超声弹性评分、杨氏模量平均值升高是下肢深静脉血栓发展成慢性期的影响因素（P<0.05）。Pearson相关性得，超声弹性评分与aPTT、PT、Fbg呈负相关（r=-0.411、-0.484、-0.667，P<0.05）；杨氏模量平均值与aPTT、PT、Fbg呈负相关（r=-0.426、-0.506、-0.712，P<0.05）。ROC曲线分析得，超声弹性成像（超声弹性评分联合杨氏模量平均值）诊断下肢深静脉血栓形成分期的AUC（0.891，95%CI:0.795~0.987）最大，灵敏度、特异度分别为93.33%、95.00%（P<0.05）。

Abstract

Objective: To explore the diagnostic efficacy of ultrasound elastography in the staging of deep venous thrombosis of lower extremities. Methods: A total of 110 patients with deep venous thrombosis of lower limbs admitted to our hospital from January 2020 to June 2022 (observation group) and 100 healthy subjects (control group) during the same period were selected as the study objects

and all of them received ultrasound elastography examination. The results of ultrasonic elastic imaging were compared between the two groups. Logistic regression analysis was used to analyze the relationship between various indicators of ultrasonic elastic imaging and the staging of lower extremity deep vein thrombosis

and Pearson correlation analysis was used to analyze the relationship between elastic imaging and laboratory parameters. Receiver operating characteristic (ROC) curve was plotted to analyze the diagnostic efficacy of ultrasound elastography in staging of deep venous thrombosis of lower extremities. Results: The proportion of thrombus detection and ultrasound elasticity score in the observation group were higher than those in the control group

and the differences were statistically significant (P<0.05). The mean value of ultrasonic elasticity score and Young''s modulus of patients in acute stage were lower than those in subacute stage and chronic stage. Logistic regression analysis showed that the increase of ultrasonic elasticity score and mean Young''s modulus were the influencing factors for the development of lower limb deep vein thrombosis in chronic stage (P<0.05). Pearson correlation showed that the ultrasonic elasticity score was negatively correlated with aPTT

PT and Fbg (r=-0.411

-0.484

-0.667

P<0.05). The mean value of Young''s modulus was negatively correlated with aPTT

PT and Fbg (r=-0.426

-0.506

-0.712

P<0.05). According to the ROC curve analysis

the AUC (0.891

95%CI:0.795~0.987) of ultrasonic elastic imaging (ultrasonic elastic score combined with the mean value of Young''s modulus) in diagnosing the stage of deep vein thrombosis of lower limbs was the largest

and the sensitivity and specificity were 93.33% and 95.00%

respectively(P<0.05).

关键词

下肢深静脉血栓分期超声弹性成像血小板凝血功能效能

Keywords

lower extremity deep vein thrombosisstageUltrasonic elastographyPlateletscoagulation functionefficiency

references

查看原文

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

超声造影与超声弹性成像评价桥本甲状腺炎背景下甲状腺癌及颈部淋巴结转移的价值