不同介入方法治疗急性髂股静脉血栓合并髂静脉压迫综合征疗效比较  

作　　者：魏强[1] 王雅洁 高玉海[1] 魏锋[1] 沈苑[1] 

机构地区：[1]浙江省湖州市中心医院,313099

出　　处：《浙江临床医学》2023年第7期1048-1050,共3页Zhejiang Clinical Medical Journal

摘　　要：目的比较经皮机械性血栓清除术(PMT,Angiojet吸栓)和导管接触溶栓(CDT)治疗急性髂股静脉血栓合并髂静脉压迫综合征(IVCS)的疗效。方法回顾性分析2018年6月至2021年6月36例急性髂股静脉血栓合并IVCS患者。根据介入方法的不同分为Angiojet组(17例)和CDT组(19例)。比较两组患者手术疗效和安全性。结果AngioJet组术后尿激酶用量、住院时间与CDT组比较,差异有统计学意义(P<0.05)。在出血发生率、血栓清除率、术后静脉通畅评分、术后1周大腿周径差及术后中远期静脉通畅率比较,差异无统计学意义(P>0.05)。结论在急性髂股静脉血栓合并IVCS的治疗过程中,AngioJet吸栓组和CDT溶栓组均取得显著疗效,但Angiojet吸栓联合同期腔内治疗在住院时间、尿激酶用量、使用范围等方面更有优势。Objective To analyze and compare the efficacy and safety of mechanical thrombectomy(Angiojet)and catheter-contact thrombolysis(CDT)in the treatment of acute iliofemoral vein thrombosis complicated with Iliac vein compression syndrome(IVCS).Methods A retrospective analysis was performed on 36 patients with acute iliofemoral vein thrombosis combined with IVCS admitted in Huzhou Central Hospital from June 2018 to June 2021.According to the different intervention methods,they were divided into Angiojet group(17 cases)and CDT group(19 cases).Results The Angiojet group had significantly less postoperative mean urokinase dosage and average hospital stay than the CDT group,with statistical significance(P<0.05).There were no significant differences between the two groups in the incidence of bleeding,thrombus clearance rate,postoperative venous patency score,thigh circumference difference at 1 week after the surgery,and mid and long-term postoperative venous patency rate(P>0.05).Conclusion In the treatment of acute iliofemoral venous thrombosis combined with IVCS,both Angiojet embolectomy group and CDT thrombolysis group has significant curative effect,but Angiojet emboli aspiration combined with simultaneous endovascular therapy has more advantages in terms of hospital stay,urokinase dosage,and scope of use.

关 键 词：急性髂股静脉血栓 髂静脉压迫综合征 Angiojet吸栓 导管接触性溶栓 

分 类 号：R543.6[医药卫生—心血管疾病]