急性下肢静脉血栓形成的双介入治疗  

Double Interventional Treatment of Acute Venous Thrombosis of Lower Extremity

作　　者：赵铁柱[1] 沈焕[1] 王为[1] 陶致侃[1] 赵丹丹[1] 

机构地区：[1]沈阳医学院附属第二医院血管外科,辽宁沈阳110002

出　　处：《沈阳医学院学报》2014年第2期84-85,共2页Journal of Shenyang Medical College

摘　　要：目的：探讨双介入治疗急性下肢静脉血栓形成的临床疗效。方法：选取2010年1月至2012年3月我院收治的急性下肢静脉血栓患者共21例,其中15例患者应用股静脉插管逆流法保留导管接触性溶栓,6例静脉插管通过血栓困难患者采用股动脉插管联合大隐静脉顺流法进行溶栓。结果：治疗前后患者患肢的肿痛情况和皮肤颜色,差异均有统计学意义（P〈0.05）;治疗前后患者的患肢直径差异无统计学意义（P〉0.05）;治疗后18例患者的管腔显著增宽、血流顺畅和侧支血管明显;术后1~3个月进行随访,其中显效17例,有效2例,无效2例,总有效率达90.48%。结论：在严格选择适应证的条件下,采用双介入疗法治疗急性下肢静脉血栓形成,其疗效确切、操作简便,容易被患者接受,系下肢静脉血栓形成治疗的新方式。Objective： To evaluate the clinical efficacy of duuble interventional treatment of acute venous thrombosis of lower extremity. Methods： A total of 21 patients with acute venous thrombosis treated in our hospital from Jan 2010 to Mar 2012 were selected. In 21 patients,15 patients were treated with remained catether-directed thrombolysis through femoral vein catheterization coutercurrent method,6 patients were treated with femoral artery catheterization combined with the great saphenous vein down stream method when catheterization had difficulties. Results： The tumescence and pain and skin color of affected limbs before and after treatment had statistically significant difference（ P ＆lt; 0. 05）,but diameter did not have difference（ P ＆gt; 0. 05）. After treatment,the lumen became wide,blood flow was good and collateral vessels were clear in 18 patients. After 1-3 months follow-up,outcoming was markedlly effective in 17 patients,effective in 2 patients,ineffective in 2 patients. The total effective rate was 90. 48%. Conclusion：Under the conditions of strictly selected indications,double interventional therapy in acute venous thrombosis of lower extremity,which is effective,simple,easy acceptance by patients,a new way of treating venous thrombosis.

关 键 词：下肢 静脉 血栓形成 双介入 

分 类 号：R654.4[医药卫生—外科学]