Angiojet血栓清除系统联合导管接触性溶栓治疗腹腔镜手术后急性下肢深静脉血栓的有效性及安全性分析  

The effectiveness and safety analysis of Angiojet thrombectomy system combined with catheter-directed thrombolysis in treating acute lower limb deep vein thrombosis after laparoscopic surgery

作　　者：朱金荣[1] ZHU Jin-rong(Second Department of Surgery,Fujian Jian'ou Municipal Hospital,Jian'ou 353100,China)

机构地区：[1]福建省建瓯市立医院外二科,353100

出　　处：《中国现代药物应用》2024年第21期20-24,共5页Chinese Journal of Modern Drug Application

摘　　要：目的分析Angiojet血栓清除系统联合导管接触性溶栓(CDT)对腹腔镜手术后急性下肢深静脉血栓(DVT)患者的影响。方法选取60例腹腔镜手术后急性DVT患者,按随机数字表法分为对照组和观察组,各30例。对照组行CDT治疗,观察组在对照组基础上加Angiojet血栓清除系统治疗。对比两组血栓溶解情况、肢体周径差、睡眠质量、生活质量、并发症发生情况。结果观察组血栓溶解情况优于对照组(P<0.05);治疗3个月后,观察组大腿周径差(2.39±0.27)cm、小腿周径差(1.50±0.24)cm小于对照组的(3.25±0.48)、(2.43±0.30)cm(P<0.05);治疗3个月后,观察组匹兹堡睡眠质量指数量表(PSQI)各维度评分均低于对照组,健康调查简表(SF-36)各维度评分均高于对照组(P<0.05);两组并发症发生率相当(P>0.05)。结论Angiojet血栓清除系统联合CDT可更有效地清除腹腔镜手术后急性DVT患者体内血栓,减小肢体周径差,改善睡眠质量与生活质量,且无严重并发症,存在一定的应用价值,临床可推广应用。Objective To investigate the influence of Angiojet thrombectomy system and catheter-directed thrombolysis(CDT)on patients with acute lower limb deep vein thrombosis(DVT)after laparoscopic surgery.Methods 60 patients with acute DVT after laparoscopic surgery were selected and randomly divided into a control group(n=30)and an observation group 9n=30)using random number table method.The control group underwent CDT,and the observation group received Angiojet thrombectomy system treatment based on the control group..Comparison was made on the thrombolysis status,limb circumference difference,sleep quality,quality of life,and occurrence of complications between the two groups.Results The observation group had better thrombolysis than that of the control group(P<0.05).After 3 months of treatment,the observation group had thigh circumference difference of(2.39±0.27)cm and calf circumference difference of(1.50±0.24)cm,which were smaller than(3.25±0.48)and(2.43±0.30)cm in the control group(P<0.05).After 3 months of treatment,the Pittsburgh sleep quality index(PSQI)scores of various dimensions in the observation group were lower comparing with in the control group,and the 36-Item Short-Form Health Survey(SF-36)scores of various dimensions were higher than those in the control group(P<0.05).The incidence of complications was similar between the two groups(P>0.05).The complication rates were comparable between the two groups(P>0.05).Conclusion The Angiojet thrombectomy system combined with CDT can more effectively clear thrombus in patients with acute DVT after laparoscopic surgery,reduce limb circumference difference,improve sleep quality and quality of life,and have no serious complications.It has certain application value and can be widely promoted in clinical practice.

关 键 词：急性下肢深静脉血栓 导管接触性溶栓 腹腔镜手术 

分 类 号：R656[医药卫生—外科学]