顺行插管综合介入治疗下肢深静脉慢性血栓形成  

Antegrade catheterization in comprehensive interventional treatment of chronic deep venous thrombosis in lower extremities

作　　者：唐郁宽[1] 陈汉威[1] 陈勇 李彦豪[2] 何晓峰[2] 宋明才[3] 许向东[1] 刘海英[1] 曹筱莹[1] 胡佩玲[1] 

机构地区：[1]广州市番禺区人民医院介入放射科,511400 [2]第一军医大学南方医院介入治疗科 [3]广州市番禺区人民医院心内科,511400

出　　处：《中华放射学杂志》2003年第1期33-36,共4页Chinese Journal of Radiology

摘　　要：目的　评价顺行性插管对下肢深静脉慢性血栓形成 (LEDVT)的综合介入治疗的临床应用价值。方法　 40例髂和 (或 )股静脉长段、全段或多节段血栓形成的患者 ,均经健侧股静脉穿刺先置入下腔静脉滤器 ,然后经患侧静脉穿刺插管 ,综合运用血管内溶栓、血栓抽吸、血栓消融器消融、球囊成形术及腔内支架置入术治疗。结果　经皮静脉穿刺插管成功率 87 5 % ( 3 5 / 40 ) ,失败的 5例改手术切开暴露静脉再穿刺插管成功。综合介入治疗后总有效率 10 0 % ,其中治愈率 42 5 %( 17/ 40 ) ,显效率 47 5 % ( 19/ 40 ) ,好转率 10 0 % ( 4/ 40 )。无严重并发症发生。Objective To evaluate the clinical effectiveness of antegrade catheterization in combined interventional treatment of chronic lower extremity deep venous thrombosis (LEDVT). Methods Forty patients with thrombosis in longer segment, whole segment or multi-segments of the iliac and (or) femoral veins were included in the study. Inferior vena cava filters (IVCF) were placed in all patients via the normal femoral veins. Antegrade puncture and catheterization was carried out through the popliteal veins in the thrombotic side. Combined interventional therapies were accomplished, including intravascular thrombolysis, thrombosis aspiration, thrombosis amplification with Amplatz Thrombectomy Device (ATD), angioplasty, and implantation of stent. Results The successful rate of percutaneous catheterization in the popliteal veins was 87.5% (35/40). In the other five unsuccessful cases, the catheterization in the popliteal veins was achieved successfully after exposing the popliteal veins by operations. Total effective rate after combined interventional treatment was 100%. No serious complications were observed. Conclusion Combined interventional treatments of chronic LEDVT through the popliteal veins is safe and effective.

关 键 词：顺行插管 综合介入治疗 下肢深静脉慢性血栓形成 临床应用 评价 

分 类 号：R543.6[医药卫生—心血管疾病]