静脉吸栓联合髂静脉支架在急性下肢深静脉血栓形成中的疗效  

The Therapeutic Effect of Intravenous Thrombectomy Combined With Iliac Vein Stent in Acute Lower Limb Deep Vein Thrombosis

作　　者：罗鑫[1] 赖小燕 陈梦君[1] LUO Xin;LAI Xiaoyan;CHEN Mengjun(Department of Cardiothoracic Surgery,Longyan First Hospital,Longyan Fujian 364000,China)

机构地区：[1]龙岩市第一医院心胸外科,福建龙岩364000

出　　处：《中国卫生标准管理》2024年第21期113-116,共4页China Health Standard Management

基　　金：福建医科大学附属协和医院省重点实验室开放课题(XHZDSYS202105)。

摘　　要：目的探讨静脉吸栓联合髂静脉支架在急性下肢深静脉血栓形成中的疗效。方法回顾性分析龙岩市第一医院2018年1月—2021年12月收治急性下肢深静脉血栓的患者100例,按照采用治疗方法不同分为2组,各50例。对照组采用置管溶栓联合髂静脉支架置入,研究组采用Angiojet吸栓联合髂静脉支架置入。观察2组术后血栓清除等级、即时临床缓解、住院时间、溶栓剂量及术后并发症。结果本次研究所纳入患者术后成功率为100%,无30 d内死亡及大出血发生。研究组即时临床缓解率为94.00%,高于对照组的68.00%,差异有统计学意义(P<0.05)。研究组住院时间[(1.81±0.25)d]短于对照组[(5.91±0.99)d],溶栓剂量[(50.77±0.11)万U]少于对照组[(180.74±75.19)万U],差异有统计学意义(P<0.05)。研究组术后并发症发生率为0,低于对照组的12.00%,差异有统计学意义(P<0.05)。结论下肢深静脉血栓(deep vein thrombosis,DVT)患者的治疗中以AngioJet机械血栓抽吸安全有效,对于溶栓禁忌者尤其适用。Objective To investigate the therapeutic effect of intravenous thrombectomy combined with iliac vein stent in acute lower limb deep vein thrombosis.Methods A retrospective analysis of 100 patients with acute lower extremity deep venous thrombosis admitted to Longyan First Hospital from January 2018 to December 2021 was carried out,and they were divided into two groups according to different treatment methods,50 cases in each group.The control group was treated with catheter thrombolysis combined with iliac vein stent implantation,and the study group was treated with Angiojet thrombus aspiration combined with iliac vein stent implantation.The postoperative thrombus clearance grade,immediate clinical remission,hospitalization time,thrombolytic dose and postoperative complications were observed in the two groups.Results The patients included in this study had a 100% success rate after surgery,with no deaths or major bleeding occurring within 30 days.The immediate clinical remission rate of the research group was 94.00%,which was higher than the 68.00% of the control group,and the difference was statistically significant(P<0.05).The study group had a shorter hospital stay[(1.81±0.25)days]than the control group[(5.91±0.99)days],and the thrombolytic dose[(50.77±0.11)ten thousands U]was less than the control group[(180.74±75.19)ten thousands U],the differences were statistically significant(P<0.05).The study group had no postoperative complications,which was lower than 12.00% of the control group,and the difference was statistically significant(P<0.05).Conclusion Angiojet mechanical thrombus aspiration is safe and effective in the treatment of patients with lower extremity deep vein thrombosis(DVT),especially for those who are contraindicated to thrombolysis.

关 键 词：髂静脉支架 静脉吸栓 联合治疗 AngioJet机械血栓抽吸 急性下肢深静脉血栓形成 治疗效果 

分 类 号：R274[医药卫生—中医骨伤科学]