急性下肢深静脉血栓形成的诊治  

Diagnosis and management of acute deep vein thrombosis of lower extremity

作　　者：乔正荣[1] 时德[1] 蒋欧[1] 王志刚[1] 

机构地区：[1]重庆医科大学附属第一医院血管外科,重庆400016

出　　处：《中国普通外科杂志》2004年第1期1-3,共3页China Journal of General Surgery

摘　　要：目的　探讨急性下肢深静脉血栓形成 (DVT )的诊治。方法　回顾性分析 96例DVT患者的临床资料。结果　彩色血管多普勒超声检查的正确率为 97.8% ,空气容积描记MVO /SVC值结合曲线诊断正确率为 97.2 % ,ECT为 10 0 %。手术 +药物治疗组MVO/SVC值及大小腿周经术后 1周与非手术组比较 ,差异有显著性意义 (P <0 .0 1)。治愈 62例 (64.6% ) ,好转 2 5例 (2 6.0 % ) ,无效 3例 (3 .1% ) ,自动出院 6例 (6.3 % )。结论　彩色血管多普勒超声是DVT首选的无创诊断方法 ,空气容积描记对DVT的诊断和疗效评价是一种客观有效的无创性检测方法 。ObjectiveTo explore the diagnosis and management of acute deep vein thrombosis(DVT) of lower extremity. Methods The clinical data of 96 patients with DVT were analysed retrospectively. ResultsThe diagnosis rate of DVT by vascular color ultrasounography was 97.8%, by MVC/SVO ratio combi ned with air plethysmagraphy was 97.2%, and by ECT was 100%. The MVO/SVC ratio, and diameter of calf and thigh in surgery group and in non surgery group showed significant difference in 7 days after operation (P< 0.01 ). In this serie s, the effect was excellent in 62 cases(64.6%), good in 25 cases (26.0%), bad in 3 cases (3.1%), and discharged oneself in 6( 6.3 %). Conclusions Vascular color ultrasounography is the first choice of non-invasiv e examination . The air plethysmography is a objective, effective and non-i nvasive technique in the diagnosis and evaluation of treatment effect of DVT. Ea rly embolectomy combined with thrombolytic and anticoagulant therapy can get good effect.

关 键 词：血栓性静脉炎 诊断 治疗 急性病 

分 类 号：R714.625[医药卫生—妇产科学] R459.7[医药卫生—临床医学]