一站式AngioJet治疗Cockett综合征合并急性下肢深静脉血栓形成  

Concurrent hybrid Anglo Jet and stenting in the treatment of acute deep vein thrombosis of the lower extremity caused by Cockett syndrome

作　　者：张晔青[1] 李晓强 Zhang Yeqing, Li Xiaoqiang(Department of Vascular Surgery, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China)

机构地区：[1]苏州大学附属第二医院血管外科,江苏省215004 [2]南京大学医学院附属鼓楼医院血管外科

出　　处：《中华普通外科杂志》2018年第9期768-771,共4页Chinese Journal of General Surgery

摘　　要：目的比较AngioJet治疗Cockett综合征继发急性下肢深静脉血栓形成的近期疗效。方法回顾性分析2014年2月至2017年1月32例Cockett综合征继发急性下肢深静脉血栓（deep venous thrombosis, DVT）患者的临床资料。AngioJet组（A组）16例，导管溶栓（catheter directed thrombolysis，CDT）组（B组）16例。术后均口服华法林抗凝治疗至少6个月。结果住院时间A组（6.8±2.1）d，B组（10.8±3.2）d；尿激酶用量A组（101.8±45.2）万U, B组（312.8±85.1）万U；两组病例差异均有统计学意义（均P〈0.05）。随访29例患者，随访率90.6%，两组患者静脉通畅评分差异无统计学意义（P〉0.05）。结论AngioJet组住院时间短，尿激酶用量少。Objective To study the short term resuhs for Cockett syndrome resuhing in acute deep vein thrombosis （DVT） of the lower extremity treated by AngioJet. Methods 32 Cockett syndrome resulting in acute DVT cases treated by hybrid AngioJet thrombolysis and stenting or catheter-directed thrombolysis （CDT） from Feb 2014 to Jan 2017 were retrospectively reviewed. There were 16 patients treated by AngioJet thrombolysis and stent （group A）. The other 16 cases were treated by CDT （group B）. All the 32 patients received warfarin at least 6 month after operation. Results The mean time of hospital stay was shorter in group A than B [ （6. 8 ± 2. 1 ） d vs. （ 10. 8 ± 3.2） d,P 〈 0. 05 ]. The amount of urokinase was less in grpup A than in B [ （101.8 ± 45.2）U vs. （312. 8 ± 85.1 ）U, P 〈 0.05 ]. 29 patients were followed up. The score of vein patency between the two groups had no significant difference （ P 〉 0.05）. Conclusion Compared with CDT group, AngioJet thrombolysis and stent group has a less total dosage of urokinase, shorter hospital stay.

关 键 词：静脉血栓形成 机械溶栓 COCKETT综合征 

分 类 号：R654[医药卫生—外科学]