Author/Editor		Brkljačić, Boris; Šebečić, Božidar; Grga, Ante; Patrlj, Leonardo; Hebrang, Andrija
Title		Color duplex-Doppler ultrasonography of lower extremities veins - types of findings
Translated title		Preiskava ožilja spodnjih okončin z dvojnim barvnim Dopplerjem - tipska razvrstitev rezultatov preiskave
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 35, št. 2
Publication year		2001
Volume		str. 83-8
Language		eng
Abstract		Background. The types of ultrasonographic findings observed in patients referred for color duplex Doppler ultrasonography (CDD-US) of veins of lower extremities are presented in this paper. patients and methods. During 27 months, 934 patients were examined. Among these, 663 were women (71%) and 271 men (29%), with the age range 19-86 (mean 58.4) years. Color Doppler scanners Acuson 128 XP 10, ATL HDI 5000 and Siemens Sonoline Elegra were used, with the transducers in the frequency range from 2.5-12 MHz. The types of findings were classified as: (a) deep venous thrombosis (DVT), (b) pathology related to veins withoutt DVT, (c) pathology of adjacent structures, (d) normal findings. Results. DVT was observed in 210 patients (22.5%) - acute or chronic in 129 patients, and 81 patients were examined in the follow - up of the DVT treatment. Postthrombotic syndrome, varicose veins, superficial thrombophlebitis and popliteal venous aneurysms were seen in 415 patients (44.4%). The pathology unrelated to veins was observed in 117 patients (12.5%). Muscular hematomas and popliteal cysts were most common in this group, but very rare pathology was noted, as well. In 192 patients (20.6%) CDD-US was normal. Conclusions. in patients referred for CDD-US examination of lower extremities veins, a high number of findings unrelated to veins, in addition to well-known findings of various venous pathologies, can be observed on CDD-US. The lesions that clinically mimic DVT should be recognized with US in order to avoid erroneous medical treatment.
Summary		Izhodišča. V študiji smo tipsko razvrstili rezultate ultrazvočne preiskave ožilja spodnjih okončnin z dvojnim barvnim Dopplerjem. Bolniki in metode. V 27 mesecih smo pregledali 934 bolnikov, 663 žensk (71%) in 271 moških (29%), starih od 19 do 86 let (povprečna starost 58,4 let). Uporabili smo barvne Dopplerske čitalnike Acuson 128 x 10, ATL HDI 500 in Simensov Sonoline Elegra ter transduktorje s frekvenco od 2,5-12 MHz. Rezultate preiskav smo razvrstili: (a) globoka venska tromboza, (b) patološke spremembe na venah, na katerih nismo odkrili znakov globoke venske tromboze, (c) patološke spremembe na sosednjih strukturah in (d) normalni rezultati. Rezultati. Globoko vensko trombozo smo odkrili pri 210 bolnikih (22,5 %). Pri 129 je bila venska tromboza akutna ali kronična, pri 81 bolnikih pa je bila prisotna tudi po zdravljenju, saj smo jo odkrili v času kontrolnih pregledov. Pri 415 bolnikih (44,4%) smo opazili posttrombotični sindrom, varikozno razjedo, površinski tromboflebitis ter vensko anevrezmo pod kolenom. Patološke spremembe, ki niso nastale zaradi bolezni ožilja, smo odkrili pri 117% bolnikih (12,5%). Najpogostejše spremembe v tej skupini so bile mišični hematomi in podkolenske ciste, opazili pa smo tudi nekaj zelo redkih patoloških sprememb. Pri 192 bolnikih (20,6%) so bili rezultati normalni. Zaključki. Poleg že znanih in zelo različnih patoloških sprememb na ožilju spodnjih okončin smo pri bolnikih, ki so prišli k nam na ultrazvočno preiskavo ožilja spodnjih okončin z dvojnim barvnim Dopplerjem, odkrili razmeroma veliko patoloških sprememb, ki niso bile povezane z boleznimi ožilja. Ultrazvočna preiskava ožilja je nujna za prepoznavanje poškodb ožilja, ki klinično spominjajo na globoko vensko trombozo, da ne bi po pomotoma napačno zdravili.
Descriptors		PERIPHERAL VASCULAR DISEASES VEINS ULTRASONOGRAPHY, DOPPLER, DUPLEX THROMBOPHLEBITIS