Clinical Application of Color Doppler Ultrasound-guided Puncture of the Popliteal Vein

Abstract

Objective To evaluate the success rate of one-time popliteal vein puncture between two different techniques (Fluoroscopy-guided puncture through pepliteal phlebography via dorsal superficial vein,named control grooup and Color Doppler Ultrasound-guided puncture,treatment group),and compare their advantages and disadvantages, btween the two groups mentioned above. Methods 52 eases of deep vein thrombosis (DVT) were randomly divided into 2 groups,control group (n=24) and therapy group (n=28). Control group were treated with Fluoroscopy-guided puncture through popliteal phlebography,therapy group were treated with Color Doppler Ultrasound-guided puncture, respectively. Following that, we compared two groups of patients with a success rate of puncture and the failure rate. Results The success rate of one-time puncture of treatment group is 85.71%, and more significant difference than control group (58.83%,P=0.028) and has lower rate of failure (0 vs 8.33%,p=0. 154)but not stetistical differenee and less hematoma. Conclusions Color Doppler Ultrasound-guided puncture of popliteal vein has a higher success rate and safety. Key words: Deep venous thrombosis; Color doppler ultrasound; Intrevention; Thrombolitic therapy