中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
8期
18-19
,共2页
深静脉血栓形成%导管介入性溶栓%肺栓塞%下腔静脉滤器
深靜脈血栓形成%導管介入性溶栓%肺栓塞%下腔靜脈濾器
심정맥혈전형성%도관개입성용전%폐전새%하강정맥려기
Deep venous thrombosis%Catheter directed thrombolysis%Pulmonary embolism%Inferior vena filter
目的：探讨导管介入性溶栓（ CDT）在治疗急性下肢深静脉血栓形成（ DVT）的临床疗效。方法：回顾分析2010年3月～2013年3月我科收治62例急性下肢深静脉血栓形成患者，先置入下腔静脉滤器（IVCF），然后经小隐静脉、腘静脉置入溶栓导管，行CDT治疗，观察下肢深静脉通畅率，有无严重出血、肺动脉栓塞（ PE）发生。结果：随访3～24个月，下肢深静脉通畅率为65．2±12．8％，治疗过程中，无严重出血、肺动脉栓塞发生。结论：导管介入性溶栓治疗急性下肢深静脉血栓形成安全有效、效果满意。
目的：探討導管介入性溶栓（ CDT）在治療急性下肢深靜脈血栓形成（ DVT）的臨床療效。方法：迴顧分析2010年3月～2013年3月我科收治62例急性下肢深靜脈血栓形成患者，先置入下腔靜脈濾器（IVCF），然後經小隱靜脈、腘靜脈置入溶栓導管，行CDT治療，觀察下肢深靜脈通暢率，有無嚴重齣血、肺動脈栓塞（ PE）髮生。結果：隨訪3～24箇月，下肢深靜脈通暢率為65．2±12．8％，治療過程中，無嚴重齣血、肺動脈栓塞髮生。結論：導管介入性溶栓治療急性下肢深靜脈血栓形成安全有效、效果滿意。
목적：탐토도관개입성용전（ CDT）재치료급성하지심정맥혈전형성（ DVT）적림상료효。방법：회고분석2010년3월～2013년3월아과수치62례급성하지심정맥혈전형성환자，선치입하강정맥려기（IVCF），연후경소은정맥、객정맥치입용전도관，행CDT치료，관찰하지심정맥통창솔，유무엄중출혈、폐동맥전새（ PE）발생。결과：수방3～24개월，하지심정맥통창솔위65．2±12．8％，치료과정중，무엄중출혈、폐동맥전새발생。결론：도관개입성용전치료급성하지심정맥혈전형성안전유효、효과만의。
Objective:To discuss the therapeutic effect of catheter directed thrombolysis therapy on deep venous thrombosis of lower ex -tremity.Methods:The study involved 62 patients with acute deep venous thrombosis of lower extremity .All patients were treated with catheter directed thrombolysis therapy , in the beginning were inserted with inferior vena cava filter , then the infusion catheter were in-serted successfully by short saphenous vein and popliteal vein .The lower extremity veins patency rate ,pulmonary embolism ( PE) and se-vere hemorrhage were observed .Results:The lower extremity veins patency rate was (65.2 ±12.8)%, there were no bleeding complica-tions and pulmonary embolism ( PE )occurred in the 62 patients during 3 -24 months followed up .Conclusion:The catheter directed thrombolysis therapy on acute deep venous thrombosis of lower extremity should be confirmed to be a safe and effective treatment .
