前言目的：探讨妇科盆腔手术后下肢深静脉血栓形成的早期诊断方法。方法：采用D-二聚体（D-dimer）与彩色多普勒超声对141例妇科盆腔手术后患者进行检查,对其中超声诊断的4例下肢静脉血栓患者行下肢静脉造影。结果：彩色多普勒超声检查出小腿静脉血栓22例,4例行下肢静脉造影的结果与超声诊断相符。D-dimer的敏感性为95．5%,特异性为60．5%,准确性为66%,阳性预测值为30．8%,阴性预测值为98．6%。结论：D-dimer联合彩色多普勒超声检查可作为妇科盆腔手术后下肢深静脉血栓形成的早期诊断方法。
Objective:Toapproachtheeartydiagnosisofdeepvenousthrombosis（DVT）occurringinlowerex-tremityofwomenaftergynecologicaloperation.Methods:D-dimerandcolordopplerflowingimaging（CDFI）wereoornbinedtodiagnoseDVTaftergynecologicalpelvicoperationsin141cases.Thevenographywasgiventothose4diagnosedDVTbyCDFIwithin1～2days.Results:22casesofdeepvenousthrombosisinthelegwerediagnosedbyCDFI.4casesofthemwereperformedvenographiesthatmatchtoCDFIs.D-dimerassay...
