经颈静脉介入治疗不同类型急性髂股静脉血栓  

Intervenfional therapy for various types of acute iliofemoral venous thrombosis through jugular vein

作　　者：张庆桥[1] 祖茂衡[1] 徐浩[1] 顾玉明[1] 李国均[1] 魏宁[1] 许伟[1] 崔艳峰[1] 刘洪涛[1] 

机构地区：[1]徐州医学院附属医院介入放射科,江苏省徐州221002

出　　处：《中华急诊医学杂志》2008年第7期727-729,共3页Chinese Journal of Emergency Medicine

基　　金：国家“十一五”科技支撑计划协作项目（2006038073024）;江苏省“青蓝工程”项目（苏教师（2007）2号）

摘　　要：目的评价经颈静脉介入治疗不同类型急性髂股静脉血栓形成（IF-VT）的疗效。方法38例急性IF-VT患者来自徐州医学院附属医院，全部经颈静脉插管行尿激酶溶栓治疗。结果左侧IF-VT或伴血栓蔓延至下腔静脉16例；左侧IF-VT伴左髂总静脉闭塞17例；左侧IF-VT合并左髂总静脉狭窄或闭塞伴血栓蔓延至下腔静脉3例；双侧IF-VT伴左髂总静脉狭窄或闭塞2例。血栓完全溶解33例，部分溶解5例。20例随访2～18个月，血栓复发2例。结论经颈静脉介入治疗不同类型急性IF-VT是一种安全、有效的治疗方法。Objective To evaluate the efficacy of interventional therapy for various types of acute iliofemoral deep venous thrombosis （IF-VT） through jugular vein. Method Thirty-eight patients with acute IF-VT from the Affiliated Hospital of Xuzhou Medical Collge underwent catheter-directed urokinase thrombolysis through jugular vein. Results Left IF-VT or with extension of thrombus into inferior vena cava was diagnosed in 16 patients,left IF-VT with left common ihac vein occlusion in 17,left IF-VT with extension of thrombus into inferior vena cava and left common iliac vein stenosis or occlusion in 3,and both IF-VT with left common iliac vein stenosis or occlusion in 2. Complete thrombolysis and partial thrombolysis was carried out in 33 （86.8%） and 5 （ 13.2% ） patients, respectively. During a period of 2- 18 months following-up in 20 patients, reoccurrence was found in 2 patients. Conclusions Interventional therapy for various types of acute lower extremity DVT through jugular vein is a safe and effective method.

关 键 词：髂股静脉血栓 血栓溶解疗法 髂静脉压迫综合征 放射学 介入性 

分 类 号：R543.6[医药卫生—心血管疾病]