Diagnostik der Phlebothrombose durch farbkodierte Duplexsonographie: Ein prospektiver Vergleich mit der Phlebographie

Autor:	Schweiger H, Kellermann W, E. G. Hahn, Marienhagen J, Günter E, Schneider Mu, Voss E, D. Becker, Cidlinsky K, Heyder N
Rok vydání:	2008
Předmět:	medicine.medical_specialty Phlebographies business.industry Mean age General Medicine medicine.disease Thrombosis Phlebothrombosis medicine Duplex sonography Radiology Pelvic vein thrombosis business Prospective cohort study
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 119:495-500
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-2008-1058721
Popis:	In a prospective study the reliability of colour-coded duplex-sonography (CCDS) and phlebography in the diagnosis of deep leg and pelvic vein thrombosis was compared. In 82 consecutive in- or out-patients (42 men, 40 women; mean age 53 [19-86] years) with clinically suspected leg or pelvic vein thrombosis the results of 275 phlebographies (reference method) and 275 CCDS were compared on admission and during follow-up. The two methods were performed less than 6 hours apart. In the diagnosis of thrombosis the sensitivity of CCDS was 99%, specificity 80%. In 88% of all tests, the different thrombosis levels, as diagnosed by phlebography, were also demonstrated by CCDS. These data indicate that, if the clinical picture of suspected deep leg or pelvic vein thrombosis is unclear, CCDS should be done first. Phlebography should be performed only if the results of the former are inconclusive.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::219241006742c25ee4fee46b453cd590 https://doi.org/10.1055/s-2008-1058721 Zobrazit plný text záznamu