AngioJet血栓抽吸术在机械血栓清除联合置管溶栓治疗急性下肢深静脉血栓中的价值  

Angiojet in patients treated for acute deep venous thrombosis by mechanical aspiration thrombectomy combined with catheter-directed thrombolysis

作　　者：李云松[1] 刘向东[1] 李亮[1] 曹彭凯 张文昌 张彦荣[1] Li Yunsong;Liu Xiangdong;Li Liang;Cao Pengkai;Zhang Wenehang;Zhang Yanrong(Department of Vascular Surgery, The Third Hospital, Hebei Medical University Shijiazhuang 050051,China;Department of Internal Medicine, Second Hospital of Zunhua Hebei Province 064200, China)

机构地区：[1]河北医科大学第三医院血管外科,石家庄050051 [2]遵化市第二医院内二科,河北省064200

出　　处：《中华普通外科杂志》2019年第6期509-511,共3页Chinese Journal of General Surgery

基　　金：河北省科技惠民计划项目(16277775D);河北省医学重点科技研究计划项目(20170665).

摘　　要：目的探讨AngioJet血栓抽吸术在机械血栓清除联合置管溶栓治疗急性下肢深静脉血栓中的价值。方法回顾性分析河北医科大学第三医院2014年12月至2018年10月机械清栓联合置管溶栓介入治疗的83例患者的临床资料。结果大腔导管抽吸+置管溶栓术43例(大腔导管抽栓组),AngioJet血栓抽吸+置管溶栓术40例(AngioJet组)。术中造影结果发现大腔导管抽栓组达到DI级清栓的10例;AngioJet组达到ID级清栓的28例(P <0.05)o大腔导管抽栓组静脉损伤38例,AngioJet组静脉损伤13例,差异有统计学意义(P<0.05) t结论 AngioJet血栓抽吸联合置管溶栓用于深静脉血栓吸栓是安全有效的。Objective To evaluate Angiojet in patients treated for acute deep venous thrombosis (DVT) by mechanical aspiration thrombectomy combined with catheter-directed thrombolysis ( COT ). Methods A retrospective analysis of 83 acute DVT patients treated by mechanical aspiration thrombectomy combined with CDT from Dec 2014 to Oct 2018 in the Third Hospital of Hebei Medical University was conducted. Results 43 cases ( routine group) were treated by mechanical aspiration thrombectomy using a large-caliber catheter combined with CDT, and 40 cases ( Angiojet group) were treated by Angiojet aspiration thrombectomy combined with CDT( P > 0. 05). Thrombosis was completely dissolved in 28 cases in Angiojet group while in 10 cases in large-caliber catheter group. Venous damage rate was higher ( 38 cases vs. 13 cases) in routine group. Conclusion Angiojet combined with CDT can effectively and safety remove thrombus in the lower extremity deep venous system.

关 键 词：静脉血栓形成 机械溶栓 AngioJet 

分 类 号：R543.6[医药卫生—心血管疾病]