经颈静脉髂-股静脉血栓清除术的临床应用  

Clinical application study on thrombectomy of iliac-femoral venous thrombosis via transjugular approach

作　　者：徐克[1] 冯博[1] 苏洪英[1] 周玉斌[1] 赵仲春[1] 张曦彤[1] 

机构地区：[1]中国医科大学附属第一医院放射科,沈阳110001

出　　处：《中华放射学杂志》2001年第10期768-771,共4页Chinese Journal of Radiology

基　　金：国家"九五"攻关项目资助课题 ( 9690 70 10 2 )

摘　　要：目的　探讨经颈静脉血栓清除术 ,即血栓拖拉 抽吸术治疗髂 股静脉血栓形成 (I FVT)的有效性。方法　急性I FVT 7例。首先经颈静脉或经健侧股静脉置入腔静脉滤器 ;然后送入自行组合式血栓抽吸和拖拉装置行I FVT清除术 ;残存狭窄者采用经皮动脉成形术 (PTA)或静脉内支架置入术。术后均行严格抗凝及溶栓治疗。结果　 7例经颈静脉血栓清除术治疗均获得成功。表现为髂 股静脉通畅 ,肿胀消退 ;1例术后患肢肿胀出现反复 ,再次治疗后肿胀消退。全部病例均未发生肺梗死。术后随访 5 5～ 3 1 0个月 ,平均 18 7个月 ,无症状性复发。结论　经颈静脉血栓清除术是治疗I FVT的一种简便实用。Objective To evaluate the effi ciency of thrombectomy of iliac-femoral venous thrombosis (I-FVT) via transjugular approach. Methods Seven patients wit h I-FVT were treated with implantation of inferior vena caval filter, balloon- di rected drag, and catheter-directed suction. Some patients were treated with PTA and stent. Meanwhile, strict anti-coagulation was necessary. Results Thrombectom y via transjugular was successful in all 7 patients. The iliac- femoral veins w e re patent after the operation and swollen symptom of lower limb disappeared. The re was swollen of the lower limb in 1 patient after treatment. Symptom disappear ed after PTA or stent treatment again. There were no serious complications. Foll ow-up study showed no pulmonary embolization or recrudescence in all 7 patients . Conclusion Thrombectomy via transjugular approach is a safe an d effective method for the treatment of I-FVT.

关 键 词：介入性放射学 静脉血栓形成 肺动脉栓塞 治疗 

分 类 号：R815[医药卫生—放射医学]