中、下段下腔静脉阻塞综合征合并血栓形成的介入治疗  

Clinical investigation of catheter-based thrombolysis and PTA in acute IVCS with thrombosis in the middle and lower segments of inferior vena cava

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

机构地区：[1]徐州医学院附属医院介入放射科,江苏徐州221002

出　　处：《徐州医学院学报》2009年第3期189-190,共2页Acta Academiae Medicinae Xuzhou

摘　　要：目的探讨介入治疗中、下段下腔静脉阻塞综合征合并血栓形成的临床疗效。方法回顾性分析我院2006年1月-2008年6月收治的7例中、下段下腔静脉阻塞综合征合并血栓形成患者的临床资料，患者均予经颈静脉置管溶栓治疗，然后予以球囊扩张闭塞的下腔静脉，行彩超评价静脉通畅程度，随访近期疗效。结果所有患者血栓完全溶解。患者出院后随访1个月～1年，近期疗效满意，患者的临床症状消失。结论采用介入溶栓及球囊扩张治疗中、下段下腔静脉阻塞综合征合并血栓形成具有较好的临床疗效。Objective To investigate the clinical efficacy of caterer - based thrombolysis in inferior vena cava ob- struction syndrome （IVCS） with thrombosis. Methods A retrospectively analysis was conducted on the clinical data of 7 inpatients of IVCS with thrombosis from Jan. 2006 to Jun. 2008. All the patients underwent catheter - based urokinase thrombolysis via the jugular vein and balloon angioplasty or percutaneous transluminal angioplasty （PTA） with to the ob- structed IVC, followed by the vein patency access by color Doppler ultrasonography and follow - up for short - term clini- cal therapeutic effects. Results All the patients had their thrombi completely dissolved. Follow - ups lasting from 1 month to a year after discharge from hospital showed satisfactory short - term effects and disappearance of clinical symp- toms. Conclusion Catheter - based thrombolysis via the right jugular vein couple with PTA is an effective therapeutic strategy for IVCS with thrombosis.

关 键 词：下腔静脉阻塞综合征 导管 溶栓 血管成形术 

分 类 号：R543.6[医药卫生—心血管疾病]