重症下肢静脉血栓形成血管内介入治疗  

Intravascular Interventional Treatment for Severe Deep Venous Thrombosis of Lower Extremity

作　　者：黄求理[1] 宋侃侃[1] 柴小民[1] 吴安乐[1] 施建国[1] 居洁勤[1] 王兰芳[1] 

机构地区：[1]浙江省宁波市第一医院影像科,315010

出　　处：《医学研究杂志》2007年第5期121-124,共4页Journal of Medical Research

基　　金：宁波市医学科技计划资助项目(2003019)

摘　　要：目的探讨重症下肢静脉血栓形成的血管内介入治疗方法。方法对31例重症下肢静脉血栓形成，分别采用导管捣碎抽出血块、球囊导管扩张术、机械性旋切导管血栓旋切术、狭窄段静脉支架种植术和下腔静脉滤器种植术等方法治疗。结果31例介入治疗术后3～36个月跟踪观察，治疗有效率为96．77％（30／31例），其中下肢功能恢复良好24例（77．42％），残留瓣膜功能异常6例（19．35％）。结论血管内介入治疗技术是治疗重症下肢静脉血栓形成的有效方法，值得推广应用。Objective To explore the method of interventional treatment for severe deep venous thrombosis of lower extremity. Methods The thirty - one patients with severe deep venous thrombosis of lower extremity were separately treated by percutaneous transluminal angioplasty （ PTA）, mechanical thrombectomy, stent placement and the inferior vena cava filter placement. Results The effective ratio is 96.77% （30/31 cases） in total cases by follow -up observation for 3 - 36 months. The lower limb functions were entirely recovered in 24 cases （77.42%）. There were functional defect in deep venous valve in 6 cases （ 19.35% ）. Conclusions The combined interventional treatment is an effective and applied method for severe deep venous thrombosis of lower extremity.

关 键 词：静脉 下肢 血栓形成 介入治疗 

分 类 号：R743.405[医药卫生—神经病学与精神病学]