皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2013年
6期
483-485
,共3页
急性下肢深静脉血栓形成%危险因素%治疗
急性下肢深靜脈血栓形成%危險因素%治療
급성하지심정맥혈전형성%위험인소%치료
acute lower extremity deep venous thrombosis%risk fac-tors%treatment
目的：分析急性下肢深静脉血栓形成（ deep venous thrombosis，DVT）患者临床特征、危险因素及治疗方法。方法：对5年来我院收治的128例急性下肢深静脉血栓形成的住院患者进行回顾性分析。结果：本组所有病例均行腔静脉滤器置入，其中Aegisy先健滤器79例，贝朗等永久滤器47例，2例临时性滤器；导管溶栓97例，股静脉切开取栓31例；髂静脉球囊扩张23例，球囊扩张＋支架植入15例。住院天数为12～30 d，平均（13．8±2．3）d。出院时患肢肿胀消退68例，肿胀明显缓解47例，另外13例治疗不满意。随访92例，其中58例基本无患肢肿胀症状；31例活动后患肢有轻度肿胀，休息后缓解；3例肿胀无缓解。本组无肺栓塞、脑出血及死亡病例。结论：引起下肢深静脉血栓形成的主要危险因素有手术、创伤、恶性肿瘤及长期卧床等，彩超是诊断的首选检查，针对不同患者采用腔静脉滤器植入、置管溶栓、取栓、滤器取出等相应的治疗方案临床效果理想。
目的：分析急性下肢深靜脈血栓形成（ deep venous thrombosis，DVT）患者臨床特徵、危險因素及治療方法。方法：對5年來我院收治的128例急性下肢深靜脈血栓形成的住院患者進行迴顧性分析。結果：本組所有病例均行腔靜脈濾器置入，其中Aegisy先健濾器79例，貝朗等永久濾器47例，2例臨時性濾器；導管溶栓97例，股靜脈切開取栓31例；髂靜脈毬囊擴張23例，毬囊擴張＋支架植入15例。住院天數為12～30 d，平均（13．8±2．3）d。齣院時患肢腫脹消退68例，腫脹明顯緩解47例，另外13例治療不滿意。隨訪92例，其中58例基本無患肢腫脹癥狀；31例活動後患肢有輕度腫脹，休息後緩解；3例腫脹無緩解。本組無肺栓塞、腦齣血及死亡病例。結論：引起下肢深靜脈血栓形成的主要危險因素有手術、創傷、噁性腫瘤及長期臥床等，綵超是診斷的首選檢查，針對不同患者採用腔靜脈濾器植入、置管溶栓、取栓、濾器取齣等相應的治療方案臨床效果理想。
목적：분석급성하지심정맥혈전형성（ deep venous thrombosis，DVT）환자림상특정、위험인소급치료방법。방법：대5년래아원수치적128례급성하지심정맥혈전형성적주원환자진행회고성분석。결과：본조소유병례균행강정맥려기치입，기중Aegisy선건려기79례，패랑등영구려기47례，2례림시성려기；도관용전97례，고정맥절개취전31례；가정맥구낭확장23례，구낭확장＋지가식입15례。주원천수위12～30 d，평균（13．8±2．3）d。출원시환지종창소퇴68례，종창명현완해47례，령외13례치료불만의。수방92례，기중58례기본무환지종창증상；31례활동후환지유경도종창，휴식후완해；3례종창무완해。본조무폐전새、뇌출혈급사망병례。결론：인기하지심정맥혈전형성적주요위험인소유수술、창상、악성종류급장기와상등，채초시진단적수선검사，침대불동환자채용강정맥려기식입、치관용전、취전、려기취출등상응적치료방안림상효과이상。
Objective:To analyze the clinical features , risk factors and treatment strategies for patients with acute lower extremity deep vein thrombosis( DVT) .Methods: A retrospective analysis was performed in 128 inpatients with acute DVT of lower extremities undergone treatment in our hospital during the past 5 five years.Results: All cases were per-formed with placement of vena cava filter(Aegisy filter in 79,VenaTech LP filter in 47,temporary filter in 2).Ninety-seven patients received fem-oral vein catheter thrombolysis,and 31 were managed by thrombectomy, 23 by iliac venous percutaneous transluminal angioplasty ( PTA ) and an-other 13 by PTA and stent placement.The length of hospital stay ranged from 12 to 30 days(mean 13.8 ±2.3).Upon discharge,the swollen limbs became completely subsided in 68 cases,evident remission in 47, yet another 13 were unsatisfactory.Follow-up of 92 cases suggested that 58 had no significant swelling of the lower extremities ,31 had mild swell-ing of the affected limb after exercise and 3 had no remission of the swell-ing.No ulmonary embolism,or cerebral hemorrhage or death occurred. Conclusion:The major risk factors for DVT are involved in surgical strat-egies,trauma, tumor and long-term bedridden.Color Doppler ultrasound shall be the preferable diagnostic strategy,and vena cava filter placement as well as catheter-directed thrombolysis,thrombectomy and removal of the filter may lead to satisfactory outcomes .
