老年人深静脉血栓的影像学诊断进展

doi:10.3969/j.issn.1003-9198.2025.09.002

摘要/Abstract

摘要： 在全球人口老龄化背景下,老年人群深静脉血栓(DVT)的发病率逐年增加,早期诊断难度较大且容易引发致命的肺栓塞(PE)。近年来,影像诊断技术已从传统的侵入性静脉造影逐渐向更安全、更便捷的超声检查、CT静脉造影(CTV)以及MRI等无创方式转变。超声因其快速、经济且可床旁操作,成为初步筛查DVT的重要手段;CTV则适用于深部复杂病例并可实现DVT与PE的一站式评估;MRI则因其卓越的软组织对比度,在深部静脉病变的诊断和血栓特征评估中具有明显优势。此外,分子影像和人工智能等新兴技术的探索不断取得进展,未来有望广泛应用于老年人群DVT的临床诊疗中。

关键词: 老年人, 深静脉血栓, 影像学诊断, 分子影像, 人工智能

Abstract: With global population aging, the incidence of deep vein thrombosis (DVT) in elderly populations is steadily increasing, posing significant challenges for early diagnosis and carrying a risk of potentially fatal pulmonary embolism (PE). Recently, diagnostic imaging techniques have shifted from traditional invasive venography to safer, more convenient non-invasive methods, including ultrasound, computed tomography venography (CTV), and magnetic resonance imaging (MRI). Ultrasound, with its rapid, economical, and bedside applicability, has become a key initial screening modality. CTV is particularly suited for complex, deep-seated cases and enables integrated evaluation of both DVT and PE in a single examination. MRI, distinguished by superior soft-tissue contrast, shows significant advantages in diagnosing deep venous lesions and evaluating thrombus characteristics. Additionally, emerging technologies such as molecular imaging and artificial intelligence continue to advance, with promising future prospects for broad application in the clinical management of DVT in elderly patients.

Key words: aged, deep vein thrombosis, imaging diagnosis, molecular imaging, artificial intelligence

中图分类号:

R 543.6

张一丹, 杨建, 刘姣, 李霞, 龚黎, 姚静. 老年人深静脉血栓的影像学诊断进展[J]. 实用老年医学, 2025, 39(9): 871-875.

ZHANG Yidan, YANG Jian, LIU Jiao, LI Xia, GONG Li, YAO Jing. Advances in imaging diagnosis of deep vein thrombosis in the elderly[J]. Practical Geriatrics, 2025, 39(9): 871-875.

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