下肢深静脉血栓形成的介入治疗研究  

Interventional therapy for deep venous thrombus of lower extremity

作　　者：印建国[1] 杨军[1] 宁季军[1] 贾雄[1] 宋锦文[1] 刘晓红[1] 杨艳[1] 

机构地区：[1]兰州军区兰州总医院放射科,甘肃兰州730050

出　　处：《西北国防医学杂志》2009年第6期420-422,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：探讨下肢深静脉血栓形成介入治疗方法与疗效。方法：对81例下肢深静脉血栓形成患者,采用下腔静脉放置滤器,静脉内置管注入尿激酶溶栓剂和利用介入器材破栓、抽栓及球囊扩张等综合治疗技术,观察疗效,并对相关资料和继发病症进行分析总结。结果：痊愈62例,明显有效13例,有效4例,无效2例,总有效率达97.5%,放置下腔静脉滤器76例。置管时间19 d,平均6.8 d。结论：综合介入治疗是治疗下肢深静脉血栓安全、有效和微创方法,值得推广运用。Objective：To investigate the method and efficacy of combined interventional therapy for lower limb deep vein thrombus（DVT）.Methods：81 patients with lower limb acute DVT were treated with percutaneous transluminal angioplasty（PTA）,transcatheter thrombectomy,and cather-directed thrombolysis by infusion of urokinase through inferior vena caval filter.Results：The time of therapy was from 1 to 9 days（average 6.8 days）.Clinical symptoms disappeared in 62 cases,obviously improved in 13 cases,partly improved in 4 cases,and invalid in 2 cases.The total effective ratio was 97.5%.Conclusion：Interventional therapy for deep venous thrombus of lower extremity is effective and safe,which should be applied extensively.

关 键 词：静脉 下肢 血栓形成 介入治疗 

分 类 号：R543[医药卫生—心血管疾病]