深部静脈血栓症を疑って施行された下肢静脈超音波検査の有病率に関する検討
深部静脈血栓症（DVT）が疑われ，当院生理検査室に依頼された下肢静脈超音波検査108件のうち，新規検査80件を対象とした。患者背景，危険因子，DVTの有病率などを後ろ向きに調査した。DVTは29例（36.2%）に認められた。DVTのスクリーニングにDダイマーが推奨されているが，偽陽性が多いため，検査前確率を上げるために他検査との組み合わせの検討が求められる。...
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| Published in | 脈管学 Vol. 58; no. 9; pp. 145 - 149 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
10.09.2018
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.18-00015 |
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| Abstract | 深部静脈血栓症（DVT）が疑われ，当院生理検査室に依頼された下肢静脈超音波検査108件のうち，新規検査80件を対象とした。患者背景，危険因子，DVTの有病率などを後ろ向きに調査した。DVTは29例（36.2%）に認められた。DVTのスクリーニングにDダイマーが推奨されているが，偽陽性が多いため，検査前確率を上げるために他検査との組み合わせの検討が求められる。 |
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| AbstractList | 深部静脈血栓症（DVT）が疑われ，当院生理検査室に依頼された下肢静脈超音波検査108件のうち，新規検査80件を対象とした。患者背景，危険因子，DVTの有病率などを後ろ向きに調査した。DVTは29例（36.2%）に認められた。DVTのスクリーニングにDダイマーが推奨されているが，偽陽性が多いため，検査前確率を上げるために他検査との組み合わせの検討が求められる。 |
| Author | 山崎, 佐枝子 海老澤, 聡一朗 小口, 泰尚 加藤, 太門 元木, 博彦 三浦, 崇 千田, 啓介 三枝, 達也 酒井, 貴弘 岡田, 綾子 桑原, 宏一郎 |
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| References | 7) Khorana AA, Dala M, Lin J, et al: Incidence and predictors of venous thromboembolism (VTE) among ambulatory high-risk cancer patients undergoing chemotherapy in the United States. Cancer 2013; 119: 648–655 3) Torbicki A, van Beek EJR, Charbnnier B, et al: Guidelines on diagnosis and management of acute pulmonary embolism. Task Force on Pulmonary Embolism, European Society of Cardiology. Eur Heart J 2000; 21: 1301–1336 13) Nakamura M, Miyata T, Ozaki Y, et al: Current venous thromboembolism management and outcomes in Japan. Circ J 2014; 78: 708–717 5) Nakamura M, Yamada N, Ito M: Current management of venous thromboembolism in Japan: current epidemiology and advances in anticoagulant therapy. J Cardiol 2015; 66: 451–459 2) Comerota AJ, Katz ML, Greenwald LL, et al: Venous duplex imaging: should it replace hemodynamic tests for deep vein thrombosis? J Vasc Surg 1990; 11: 53–59 15) Mitani G, Takagaki T, Hamahashi K, et al: Associations between venous thromboembolism onset, D-dimer, and soluble fibrin monomer complex after total knee arthroplasty. J Orthop Surg Res 2015; 1: 172 11) Wells PS, Owen C, Doucette S, et al: Does this patient have deep vein thrombosis? JAMA 2006; 295: 199–207 6) Kuroniwa M, Morimatsu H, Tsuzaki K, et al: Changes in the incidence, case fatality rate, and characteristics of symptomatic perioperative pulmonary thromboembolism in Japan: results of the 2002–2011 Japanese Society of Anethesiologists Perioperative Pulmonary Thromboembolism (JSA-PTE) Study. J Anesth 2015; 29: 433–441 4) Goldhaber SZ: Risk factors for venous thromboembolism. J Am Coll Cardiol 2010; 56: 1–7 8) Lip GY, Gibbs CR: Does heart failure confer a hypercoagulable state? Virchow’s triad revisited. J Am Coll Cardiol 1999; Apr 33: 1424–1426 12) Yamaki T, Nozaki M, Sakurai H, et al: Combined use of pretest clinical probability score and latex agglutination D-dimer testing for excluding acute deep vein thrombosis. J Vasc Surg 2009; 5: 1099–1105 16) Tsuji A, Wada H, Matsumoto T, et al: Elevated levels of soluble fibrin in patients with venous thromboembolism. Int J Hematol 2008; 88: 448–453 1) 伊藤正明，池田正孝，石橋宏之，他：肺血栓塞栓症および深部静脈血栓症の診断，治療，予防に関するガイドライン（2017年改訂版） 10) Weitz J, Fredenburgh JC, Eikelboom JW: A test in Context: D-dimer. J Am Coll Cardiol 2017; 70: 2411–2420 9) Piazza G, Goldhaber SZ, Lessard DM, et al: Venous thromboembolism in heart failure: preventable deaths during and after hospitalization. Am J Med 2011; 124: 252–259 14) Horan JT, Francis CW: Fibrin degradation products, fibrin monomer and soluble fibrin in disseminated intravascular coagulation. Semin Thromb Hemost 2001; 27: 657–666 |
| References_xml | – reference: 8) Lip GY, Gibbs CR: Does heart failure confer a hypercoagulable state? Virchow’s triad revisited. J Am Coll Cardiol 1999; Apr 33: 1424–1426 – reference: 14) Horan JT, Francis CW: Fibrin degradation products, fibrin monomer and soluble fibrin in disseminated intravascular coagulation. Semin Thromb Hemost 2001; 27: 657–666 – reference: 2) Comerota AJ, Katz ML, Greenwald LL, et al: Venous duplex imaging: should it replace hemodynamic tests for deep vein thrombosis? J Vasc Surg 1990; 11: 53–59 – reference: 7) Khorana AA, Dala M, Lin J, et al: Incidence and predictors of venous thromboembolism (VTE) among ambulatory high-risk cancer patients undergoing chemotherapy in the United States. Cancer 2013; 119: 648–655 – reference: 15) Mitani G, Takagaki T, Hamahashi K, et al: Associations between venous thromboembolism onset, D-dimer, and soluble fibrin monomer complex after total knee arthroplasty. J Orthop Surg Res 2015; 1: 172 – reference: 3) Torbicki A, van Beek EJR, Charbnnier B, et al: Guidelines on diagnosis and management of acute pulmonary embolism. Task Force on Pulmonary Embolism, European Society of Cardiology. Eur Heart J 2000; 21: 1301–1336 – reference: 6) Kuroniwa M, Morimatsu H, Tsuzaki K, et al: Changes in the incidence, case fatality rate, and characteristics of symptomatic perioperative pulmonary thromboembolism in Japan: results of the 2002–2011 Japanese Society of Anethesiologists Perioperative Pulmonary Thromboembolism (JSA-PTE) Study. J Anesth 2015; 29: 433–441 – reference: 1) 伊藤正明，池田正孝，石橋宏之，他：肺血栓塞栓症および深部静脈血栓症の診断，治療，予防に関するガイドライン（2017年改訂版） – reference: 5) Nakamura M, Yamada N, Ito M: Current management of venous thromboembolism in Japan: current epidemiology and advances in anticoagulant therapy. J Cardiol 2015; 66: 451–459 – reference: 9) Piazza G, Goldhaber SZ, Lessard DM, et al: Venous thromboembolism in heart failure: preventable deaths during and after hospitalization. Am J Med 2011; 124: 252–259 – reference: 12) Yamaki T, Nozaki M, Sakurai H, et al: Combined use of pretest clinical probability score and latex agglutination D-dimer testing for excluding acute deep vein thrombosis. J Vasc Surg 2009; 5: 1099–1105 – reference: 16) Tsuji A, Wada H, Matsumoto T, et al: Elevated levels of soluble fibrin in patients with venous thromboembolism. Int J Hematol 2008; 88: 448–453 – reference: 10) Weitz J, Fredenburgh JC, Eikelboom JW: A test in Context: D-dimer. J Am Coll Cardiol 2017; 70: 2411–2420 – reference: 11) Wells PS, Owen C, Doucette S, et al: Does this patient have deep vein thrombosis? JAMA 2006; 295: 199–207 – reference: 4) Goldhaber SZ: Risk factors for venous thromboembolism. J Am Coll Cardiol 2010; 56: 1–7 – reference: 13) Nakamura M, Miyata T, Ozaki Y, et al: Current venous thromboembolism management and outcomes in Japan. Circ J 2014; 78: 708–717 |
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| Snippet | 深部静脈血栓症（DVT）が疑われ，当院生理検査室に依頼された下肢静脈超音波検査108件のうち，新規検査80件を対象とした。患者背景，危険因子，DVTの有病率などを後ろ... |
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| SubjectTerms | deep vein thrombosis ultrasonography venous thromboembolism |
| Title | 深部静脈血栓症を疑って施行された下肢静脈超音波検査の有病率に関する検討 |
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