中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
9期
964-966
,共3页
邓小军%张宏文%段诗娇%肖艳%谢卫华
鄧小軍%張宏文%段詩嬌%肖豔%謝衛華
산소군%장굉문%단시교%초염%사위화
深静脉血栓%介入治疗%静脉
深靜脈血栓%介入治療%靜脈
심정맥혈전%개입치료%정맥
Deep venous thrombosis%Interventional therapy%Popliteal vein
目的 探讨经腘静脉穿刺血栓抽吸及接触性溶栓治疗下肢深静脉血栓的临床应用价值.方法 对30例下肢深静脉血栓形成患者采用经患侧腘静脉入路综合性介入治疗,在行下腔静脉滤器植入前提下,先行球囊扩张机械性破碎血栓及10F改良下腔静脉支架输送鞘行血栓抽吸,然后行接触性溶栓治疗,4例患者于溶栓后行骼静脉支架植入术治疗,以静脉通畅评分和静脉通畅率及健、患肢周径差等指标评价疗效,患者随访1年以上.结果 技术成功率为100％,30例患者于治疗6个月复诊,双下肢周径差＜1.5 cm,行下肢静脉造影复查,静脉通畅评分显著改善[治疗前后分别为(9.5±2.6)、(3.6±2.1分),Z=1.65,P＜ 0.01],静脉通畅率为(69.5±13.2)％.治疗过程中未出现严重并发症.结论 经腘静脉综合介入治疗下肢深静脉血栓安全有效、操作简便.
目的 探討經腘靜脈穿刺血栓抽吸及接觸性溶栓治療下肢深靜脈血栓的臨床應用價值.方法 對30例下肢深靜脈血栓形成患者採用經患側腘靜脈入路綜閤性介入治療,在行下腔靜脈濾器植入前提下,先行毬囊擴張機械性破碎血栓及10F改良下腔靜脈支架輸送鞘行血栓抽吸,然後行接觸性溶栓治療,4例患者于溶栓後行骼靜脈支架植入術治療,以靜脈通暢評分和靜脈通暢率及健、患肢週徑差等指標評價療效,患者隨訪1年以上.結果 技術成功率為100％,30例患者于治療6箇月複診,雙下肢週徑差＜1.5 cm,行下肢靜脈造影複查,靜脈通暢評分顯著改善[治療前後分彆為(9.5±2.6)、(3.6±2.1分),Z=1.65,P＜ 0.01],靜脈通暢率為(69.5±13.2)％.治療過程中未齣現嚴重併髮癥.結論 經腘靜脈綜閤介入治療下肢深靜脈血栓安全有效、操作簡便.
목적 탐토경객정맥천자혈전추흡급접촉성용전치료하지심정맥혈전적림상응용개치.방법 대30례하지심정맥혈전형성환자채용경환측객정맥입로종합성개입치료,재행하강정맥려기식입전제하,선행구낭확장궤계성파쇄혈전급10F개량하강정맥지가수송초행혈전추흡,연후행접촉성용전치료,4례환자우용전후행격정맥지가식입술치료,이정맥통창평분화정맥통창솔급건、환지주경차등지표평개료효,환자수방1년이상.결과 기술성공솔위100％,30례환자우치료6개월복진,쌍하지주경차＜1.5 cm,행하지정맥조영복사,정맥통창평분현저개선[치료전후분별위(9.5±2.6)、(3.6±2.1분),Z=1.65,P＜ 0.01],정맥통창솔위(69.5±13.2)％.치료과정중미출현엄중병발증.결론 경객정맥종합개입치료하지심정맥혈전안전유효、조작간편.
Objective To evaluate the clinical value of the pumping and popliteal vein thrombosis contact thrombolytic treatment of lower extremity deep venous thrombosis(LEDVT).Methods For thirty deep venous thrombosis patients with ipsilateral popliteal vein approach through a comprehensive intervention,the line of the inferior vena cava filter was implanted under the premise of first balloon mechanical thrombus fragmentation and thrombus aspiration by 10 F improved the inferior vena cava stents conveying sheath,followed by the line of contact thrombolytic therapy.Four patients underwent iliac vein in the thrombolytic treatment of stent implantation.Vein patency and venous patency score and health and poor limb circumference difference were used to assess efficacy of treatment.Patients were followed up for at least 1 year.Results The technical success rate was 100％.At six months after sugery,the mean lower limb circumference difference of the 30 patients was ＜ 1.5 cm.Lower limb venous angiography showed significantly improved vein patency score [ (9.5 ± 2.6) vs.(3.6 ± 2.1 ),Z =1.65,P ＜ 0.01 ].Venous patency rate was ( 69.5 ± 13.2) ％.No serious complications during treatment and the period of follow-up.Conclusion Transpopliteal vein interventional treatment of lower extremity deep venous thrombosis is simple,safe and effective.
