Comparison of Two-Point vs. Three-Point Compression Ultrasound in the Diagnosis of Lower Limb Vein Thrombosis
- سال انتشار: 1402
- محل انتشار: فصلنامه بین المللی تحقیقات پزشکی، دوره: 13، شماره: 1
- کد COI اختصاصی: JR_INTJMI-13-1_013
- زبان مقاله: انگلیسی
- تعداد مشاهده: 235
نویسندگان
Department of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Radiology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Emergency Medicine, Shahid Beheshti University of medical Sciences, Tehran, Iran
Emergency Medicine specialist, Mehrgan Hospital, Kerman University of Medical Sciences, Iran.
Department of Emergency Medicine, Faculty of Medicine Zahedan University of Medical Sciences, Zahedan, Iran
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده
Background: Considering the very dangerous complications of deep vein thrombosis in critically ill patients, its early identification is very important. Method: This was a cross-sectional diagnostic value study that was conducted on ۷۰ patients over ۱۸ years of age who had lower limb edema or scored higher than ۱ according to the Wells criteria and were referred to the edalatian Emergency Department of Imam Reza Hospital and Qaem Hospital from the fall of ۲۰۱۷ to the fall of ۲۰۱۸; The ultrasound compression test was first performed at two points and then at the third point by trained specialists in the emergency room. Results: IIn the two-point compression ultrasound examination, it was observed that DVT was reported positive in ۵۹ cases and no false positive cases were observed. Also, DVT was not positive in only ۶ cases and true negative was observed in ۵ cases. The sensitivity, specificity, positive predictive value and negative predictive value of Compression ۲point ultrasound were reported as ۹۰%, ۱۰۰%, ۱۰۰% and ۴۵%, respectively. In the three-point compression ultrasound examination, DVT was reported positive in ۶۳ cases and no false positive cases were observed. Also, negative DVT was reported in only ۲ cases and true negative cases were also observed in ۵ cases. The sensitivity, specificity, positive predictive value, and negative predictive value of three-point compression ultrasound were reported as ۹۶%, ۱۰۰%, ۱۰۰%, and ۷۱%, respectively. In the end, the delong’s test showed that there is a significant difference between two-point compression and three-point compression ultrasound in the diagnosis of lower limb vein thrombosis (P< ۰.۰۱). Conclusion: Based on the findings of our study, it seems that performing two-point and three-point ultrasound in the emergency room for diagnosing DVT has high sensitivity and accuracy, and performing three-point ultrasound is preferable to two-point.کلیدواژه ها
Thrombosis, Lower limb, Two-point ultrasound, Three-point ultrasound..اطلاعات بیشتر در مورد COI
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