【作者】 季秀珍； 何英； 张晴； 姜倩； 杨春林； 桂佳佳； 万志龙；

【Author】 JI Xiuzhen1, HE Ying1, ZHANG Qing1, JIANG Qian1, YANG Chunlin1 GUI Jiajia1, WANG Zhilong2 (1. Department of Ultrasound, Tumor Hospital of Nantong, Jiangsu Nantong 226361, China; 2. Department of Radiotherapy, Tumor Hospital of Nantong, Jiangsu Nantong 226361, China)

【机构】 南通市肿瘤医院超声科； 南通市肿瘤医院放射治疗科；

【摘要】 目的分析恶性肿瘤并发颈内静脉血栓的超声表现并探讨其形成原因。方法对36例恶性肿瘤并发颈内静脉血栓患者的临床和超声资料进行回顾性分析。结果颈内静脉血栓的二维声像图表现为静脉管径改变,腔内实质回声,加压探头管腔不能变形或不能完全压闭;彩色多普勒超声表现为腔内无血流信号或信号充盈缺损。结论静脉壁损伤、血流缓慢和血液高凝状态是造成静脉血栓形成的三大因素,彩色多普勒超声对颈内静脉血栓的诊断和抗凝治疗的疗效评价具有重要价值。更多还原

【Abstract】 Objective To analyze the ultrasonic appearances of internal jugular vein (IJV) thrombosis associated with malignancy and investigate the causes of it. Methods Retrospective analysis of ultrasonography (US) was made on 36 cases with IJV thrombosis caused by malignancy. Results: The ultrasonic findings of IJV thrombosis included changing of venous diameter, parenchymatous echoes in the cavity, no deformities or shutting of vessel under pressure probe in the two-dimensional sonography. The color doppler US images of IJV thrombosis displayed filling defects or disappearance of intracavitary bloodstream signal. Conclusion The injuries of venous wall, slow blood flow and hypercoagulability were the three main factors caused venous thrombosis. The color Doppler US had important value in diagnosing IJV thrombosis and evaluating curative effect of anticoagulant therapy .更多还原