대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제78권6호
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  • Pages.363-370
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  • 2018
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
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심부정맥혈전증의 진단 및 인터벤션 치료

The Diagnosis and Interventional Treatment of Deep Vein Thrombosis

  • 김민욱 (이화여자대학교 의과대학 영상의학교실) ;
  • 최선영 (이화여자대학교 의과대학 영상의학교실) ;
  • 황지영 (이화여자대학교 의과대학 영상의학교실)
  • Kim, Min Uk (Department of Radiology, Ewha Womans University College of Medicine) ;
  • Choi, Sun Young (Department of Radiology, Ewha Womans University College of Medicine) ;
  • Hwang, Ji Young (Department of Radiology, Ewha Womans University College of Medicine)
  • 투고 : 2017.11.03
  • 심사 : 2017.12.11
  • 발행 : 2018.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

심부정맥혈전증은 주로 하지에 발생하며, 정맥혈류를 차단하여 증상을 일으키는 질병이다. 장딴지 정맥에만 발생하는 경우 증상이 없거나 경미한 경우가 대부분이나, 오금정맥 상방의 근위부 혈관에 발생하는 경우 하지 전체의 정맥 흐름에 영향을 주게 되어 적절한 치료를 하지 않으면 혈전후증후군과 폐색전증을 일으킬 수 있다. 심부정맥혈전증은 영상 검사를 통하여 진단하며 초음파검사가 일차적인 검사로 이용되고 있고, 컴퓨터단층 정맥조영술의 빈도도 증가하는 추세이다. 심부정맥혈전증으로 진단되면 우선 원인을 파악하는 것이 중요하며, 증상이 있는 근위부 심부정맥혈전증의 경우, 항응고 치료와 인터벤션 시술을 통한 혈전 제거를 함께 시행하는 것이 조기에 정맥혈류를 정상으로 회복시켜 합병증을 예방할 수 있다.

Deep vein thrombosis (DVT), which usually occurs in the lower extremities, is the presence of a blood clot within a deep vein that causes symptoms by breaking the venous return. Many cases of calf vein DVT are asymptomatic, or display only mild symptoms. But in the case of a proximal DVT, it affects the venous flow through the entire lower extremity, which results in a post-thrombotic syndrome, or a pulmonary embolism, if the proper treatment isn't performed. The diagnosis of the DVT is made by a radiologic examination. An ultrasound is often used as a first line of diagnosis, but on the other hand, computed tomography venography has also been gaining traction as an alternative method. If diagnosed, finding the cause of the DVT is important, and in the case of a symptomatic proximal DVT, the combination of anticoagulation and interventional treatment can be used towards the recovery of the venous return, preventing complications.

키워드

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피인용 문헌

  1. 하지 심부정맥혈전증으로 인한 부종 및 통증에 계지복령환 투약과 침 요법을 포함한 한의 치료를 시행한 증례 1례 보고 vol.42, pp.2, 2018, https://doi.org/10.13048/jkm.21020