下肢深静脉血栓形成后综合征外科干预方式与思考  

Consideration and surgical management strategies of post-thrombotic syndrome

作　　者：焦元勇 章希炜 

机构地区：[1]南京医科大学第一附属医院血管外科,江苏南京200029

出　　处：《中国实用外科杂志》2015年第12期1291-1294,共4页Chinese Journal of Practical Surgery

摘　　要：下肢深静脉血栓形成后综合征(PTS)是下肢深静脉血栓(DVT)最常见并发症,严重影响人们生活质量。除保守治疗外,中重度或保守治疗无效的PTS病人是外科干预主要适应证。传统的各种转流术和瓣膜修复重建术能有效提高病人生活质量,随着腔内技术发展和对近端阻塞性病变重要性的认识,血管腔内治疗或联合传统静脉内膜剥脱术改善流入道已成为目前首选。但PTS病理生理改变复杂多变,对各种手术方法缺乏高质量随机对照研究,进一步研究将为病人个体化治疗提供参考。Post-thrombotic syndrome （PTS） is the most common chronic complication of deep vein thrombosis （DVT） that significantly impairs quality of life. Surgical treatment of moderate-to-severe PTS could have the potential to be effective when conservative and medical treatments have failed. Conventional valve reconstruction and venous bypass were effective to improve quality of life, while endovascular treatment or with endophlebectory become preferred with the development of endovascular technologies and the perception of proximal DVT in development of PTS. To date, however, there have been no methodologically robust comparative trails that have addressed the effectiveness of different surgical treatments at improving quality of life. Further research is needed to provide the reference and instruction for individualized treatment of patients with PTS.

关 键 词：下肢深静脉血栓 血栓形成后综合征 腔内治疗 

分 类 号：R6[医药卫生—外科学]