抗凝与静脉溶栓治疗急性肠系膜上静脉血栓的疗效差异探讨  

The Difference in the Efficacy of Anticoagulation and Intravenous Thrombolysis in the Treatment of Acute Superior Mesenteric Vein Thrombosis was Discussed

作　　者：魏凯凯 万圣云[1] Wei Kaikai;Wan Shengyun(Department of Vascular Surgery,The Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230000)

机构地区：[1]安徽医科大学第二附属医院血管外科,安徽合肥230000

出　　处：《科技与健康》2024年第10期1-4,共4页Technology and Health

摘　　要：分析早期肠系膜上静脉血栓治疗中抗凝治疗、静脉溶栓治疗的临床疗效。选取2017年1月—2023年1月安徽医科大学第二附属医院收治的40例早期急性肠系膜上静脉血栓患者为研究对象,并将其随机均分为观察组和对照组两组,观察组患者接受抗凝治疗,对照组患者接受静脉溶栓治疗。比较两组患者肠系膜上静脉管径、血清学指标、疗效、近期复发率。结果表明,肠系膜上静脉管径比较,观察组管径较大,差异有统计学意义(P<0.05);血清学指标比较,观察组维生素B9、维生素B12指标升高,D-二聚体、同型半胱氨酸指标降低,差异有统计学意义(P<0.05);疗效比较,观察组有效率为90.00%,对照组有效率为75.00%,观察组疗效较好,差异有统计学意义(P<0.05);近期复发率比较,观察组无复发,对照组复发率为10.53%,观察组预后较好(P<0.05)。研究发现,抗凝治疗早期肠系膜上静脉血栓的效果优于静脉溶栓治疗,该疗法治疗风险较低,患者预后较好。To analyze the clinical efficacy of anticoagulation and intravenous thrombolysis in the early treatment of superior mesenteric vein thrombosis.A total of 40 patients with early acute mesenteric venous thrombosis admitted to the Second Affiliated Hospital of Anhui Medical University from January 2017 to January 2023 were selected as the study subjects and randomly divided into two groups,including 20 cases of anticoagulation therapy as the observation group and 20 cases of intravenous thrombolysis therapy as the control group.The results showed that the diameter of the superior mesenteric vein was larger in the observation group and significantly different between the groups(P<0.05),the vitamin B9 and vitamin B12 indexes in the observation group were increased,and the D-dimer and homocysteine indexes were decreased in the observation group(P<0.05),and the effective rate was 90.00%in the observation group and 75.00%in the control group.There was a significant difference between the groups(P<0.05),The recent recurrence rate comparison showed that there was no recurrence in the observation group,while the recurrence rate in the control group was 10.53%.The observation group had a better prognosis(P<0.05).Studies have found that anticoagulation is more effective than intravenous thrombolysis in the early stages of supramesenteric venous thrombosis,which has a lower risk and a better prognosis.

关 键 词：早期肠系膜上静脉血栓 静脉溶栓治疗 抗凝治疗 复发率 

分 类 号：R654.3[医药卫生—外科学]