[Sonographic diagnosis of deep pelvic/leg venous thrombosis: is color-coded Duplex sonography "superfluous"?].
In the diagnosis of deep vein thrombosis compression B-mode sonography and colour coded Duplex-sonography both are reported to give excellent results in sensitivity and specificity in comparison to phlebography. Therefore value and cost effectiveness of colour coded Duplex-sonography versus compression B-mode sonography are questionable. In our examinations with colour coded Duplex-scanning done one 116 patients in comparison to phlebography we achieved corresponding results to the values of present publications (sensitivity in the leg was 100%, in the calf 89%; specificity in the leg was 94%, in the calf 91%). In earlier examinations with compression B-mode sonography done on 64 patients we were less successful in gaining these results in comparison to phlebography: sensitivity was 76% and specificity was 88% in the iliaco-, femoro-, popliteal region. We discuss the limitations of the compression test in our experiences and point out the advantages of colour coding under special situations.
Langholz
J
J
Franziskuskrankenhaus Berlin, Innere Abteilung.
Heidrich
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001783:Blood Flow Velocity / Q000502:physiology; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011152:Popliteal Vein / Q000000981:diagnostic imaging; D012016:Reference Values; D013924:Thrombophlebitis / Q000000981:diagnostic imaging*; D014463:Ultrasonography
Sonographische Diagnose der tiefen Becken-/Beinvenenthrombose: Ist die farbkodierte Duplexsonographie "überflüssig"?