首页|DSA下肢深静脉造影与手术病理结果诊断下肢静脉曲张的一致性研究

DSA下肢深静脉造影与手术病理结果诊断下肢静脉曲张的一致性研究

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目的:探讨数字减影血管造影(DSA)下肢深静脉造影与手术病理结果诊断下肢静脉曲张的一致性.方法:选取2020年10月—2022年10月在南丰县人民医院就诊收治的68例下肢静脉曲张患者,均行手术治疗与DSA下肢深静脉造影检查,以手术病理结果为金标准,计算DSA诊断符合率,并进行一致性检验.结果:手术病理结果中,68条均为单纯性大隐静脉曲张;DSA下肢深静脉造影均顺利完成,患者未发生造影剂过敏等不良反应,造影结果中65条为大隐静脉曲张;DSA判断下肢静脉曲张与手术病理结果的Kappa值为0.901,P<0.05,一致性较佳,诊断下肢静脉曲张的灵敏度为92.65%、特异度为33.33%、阴性预测值为16.67%、阳性预测值为96.92%.结论:DSA诊断下肢静脉曲张与手术病理结果具有较好的临床一致性,DSA是临床诊断下肢静脉曲张的有效诊断手段,可为临床进一步治疗该疾病提供参考.
Study on the Consistency between DS A Lower Limb Deep Vein Angiography and Surgical Pathological Results in Diagnosing Lower Limb Varicose Veins
Objective:To explore the consistency between digital subtraction angiography(DSA)and surgical pathological results in diagnosing lower limb varicose veins.Methods:68 patients with lower limb varicose veins admitted to Nanfeng County People's Hospital from October 2020 to October 2022 were selected,all of whom underwent surgical treatment and DSA deep vein angiography examination.The DSA diagnostic accuracy was calculated based on the surgical pathological results as the gold standard,and consistency testing was performed.Results:Among the surgical pathological results,68 were all simple varicose veins of the great sa-phenous vein;DSA lower limb deep vein angiography was successfully completed,and the patient did not experience any adverse reactions such as contrast agent allergy.Among the angiography results,65 were varicose veins of the great saphenous vein;The Kappa value of DSA for diagnosing lower limb varicose veins was 0.901,P<0.05,indicating good consistency.The sensitivity,specificity,negative predictive value,and positive predictive value for diagnosing lower limb varicose veins were 92.65%,33.33%,16.67%,and 96.92%,respectively.Conclusion:DSA diagnosis of lower limb varicose veins has good clinical consistency with surgical pathological results.DSA is an effective diagnostic tool for clinical diagnosis of lower limb varicose veins and can provide reference for further clinical treatment of this disease.

Lower limb varicose veinsDSASurgical pathologyConsistency research

曾宇波、李梦媛

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南丰县人民医院(江西南丰 344500)

下肢静脉曲张 DSA 手术病理 一致性研究

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(6)