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目的探讨下肢非深静脉血栓性肿胀的病因。方法回顾性总结2000年1月至2007年12月我院收治的44例一度误诊为下肢深静脉血栓形成患者的临床资料。所有病例在详细询问病史和仔细体格检查后,部分病例进行了彩超、下肢深静脉造影、CT、MR、同位素淋巴扫描等检查,以期追踪下肢肿胀的病因。结果 44例下肢肿胀病例中,其中髂静脉受压综合征10例;股静脉血管内皮瘤1例;髋关节滑膜囊肿6例;下肢自发性出血、血肿8例;体位性骨筋膜室综合征1例;盆腔恶性肿瘤7例;良性纤维瘤病3例;厌氧菌感染5例;慢性淋巴水肿3例。结论下肢非深静脉血栓性肿胀并不少见,病因各异;仔细的病史采集和体格检查有助于诊断建立;静脉造影等影像学检查可明确诊断。
Objective To investigate the etiology of non-deep venous thrombosis in lower extremities. Methods The clinical data of 44 patients who were misdiagnosed as deep venous thrombosis of lower extremity from January 2000 to December 2007 in our hospital were retrospectively reviewed. In all cases after detailed medical history and physical examination, some cases underwent ultrasonography, deep venous angiography, CT, MR, isotope lymphadenectomy and other tests in order to track the etiology of lower extremity swelling. Results 44 cases of lower extremity swollen cases, including iliac vein compression syndrome in 10 cases; femoral vein endothelial tumors in 1 case; hip synovial cysts in 6 cases; lower extremity hemorrhage, hematoma in 8 cases; 1 case; pelvic malignant tumor in 7 cases; 3 cases of benign fibromatosis; anaerobic bacteria infection in 5 cases; 3 cases of chronic lymphedema. Conclusions Non-deep venous thrombosis of lower extremities is not uncommon and has different etiologies. Careful medical history collection and physical examination are helpful for the diagnosis. Veno-angiography and other imaging tests can confirm the diagnosis.