CAJ | 학술논문

目的探讨多种介入方法相互配合对军训致急性下肢深静脉血栓(DVT)的疗效.方法对军训致25例急性DVT患者均行Fogarty导管取栓术.其中单纯取栓3例;取栓联合球囊导管血管成形6例;血管成形联合血管腔内超声消融11例;血管成形和(或)血管腔内超声消融联合支架置入5例.对其疗效进行总结. 结果髂股段静脉完全开通24例,术中造影示管腔直径≥71%;左髂总静脉开口未能开通1例.25例均行术后随访,平均时间34个月.其中24例完全恢复正常或基本正常,可从事正常军事训练;1例髂静脉未开通者训练后仍感肢体肿胀. 结论多种外科介入技术相互配合可明显提高军训致DVT的疗效.
목적 탐토다충개입방법 상호배합대군훈치급성하지심정맥혈전(DVT)적료효.방법 대군훈치25례급성DVT환자균행Fogarty도관취전술.기중단순취전3례;취전연합구낭도관혈관성형6례;혈관성형연합혈관강내초성소융11례;혈관성형화(혹)혈관강내초성소융연합지가치입5례.대기료효진행총결. 결과 가고단정맥완전개통24례,술중조영시관강직경≥71%;좌가총정맥개구미능개통1례.25례균행술후수방,평균시간34개월.기중24례완전회복정상혹기본정상,가종사정상군사훈련;1례가정맥미개통자훈련후잉감지체종창. 결론 다충외과개입기술상호배합가명현제고군훈치DVT적료효.
Objective To evaluate the effect of combined multiple interventional methods in treatment of acute deep venous thrombi (DVT) in lower extremities caused by military training. Meth-ods All 25 patients with DVT were treated with embolectomy by using Fogarty catheter. Of all, three pa-tients were treated only with embolectomy, six underwent embolectomy plus percutaneous transluminal an-gioplasty (PTA), 11 received PTA plus ultrasound ablation and five were implanted with stent-grafts. The clinical results were analyzed retrospectively. Results Based on angiography during operation, the ob-structed iliofemoral vein received complete recanalization in 24 patients, with the perioperative luminal di-ameter ≥71%. Partial recanalization of the entrance of common iliac vein to inferior vena cava was failed in one patient. All 25 patients were followed up for an average 34 months after operation, which showed that 24 patients received satisfactory results with normal military training and that the other one with failed recanalization of vena iliaca still felt swelling pain in lower extremity after training. Conclusion Com-bined multiple interventional methods can remarkably improve the therapeutic effect for DVT caused by military training.