CAJ | 학술논문

目的：探讨股骨骨折术后下肢深静脉血栓( DVT )的有效治疗方法。方法：将63例股骨骨折手术后DVT病例分为3组，抗凝组口服低分子肝素( LMWH )和华法林，溶栓组在放置下腔静脉滤器( IVCF )基础上联合尿激酶治疗，取栓组在放置IVCF同时行导管取栓治疗。结果：总体疗效取栓组优于溶栓组，溶栓组优于抗凝组；使用IVCF组与未使用IVCF组肺栓塞发生率有显著差异(P＜0.01)。结论：股骨骨折术后DVT发生后，以取栓的近期疗效为著，使用IVCF可使肺栓塞发生率降低。
목적：탐토고골골절술후하지심정맥혈전( DVT )적유효치료방법。방법：장63례고골골절수술후DVT병례분위3조，항응조구복저분자간소( LMWH )화화법림，용전조재방치하강정맥려기( IVCF )기출상연합뇨격매치료，취전조재방치IVCF동시행도관취전치료。결과：총체료효취전조우우용전조，용전조우우항응조；사용IVCF조여미사용IVCF조폐전새발생솔유현저차이(P＜0.01)。결론：고골골절술후DVT발생후，이취전적근기료효위저，사용IVCF가사폐전새발생솔강저。
Objective To investigate the efficacy of therapeutic methods in preventing deep vein thrombo?sis (DVT) formation after femoral fracture surgery. Methods Sixty three cases of femoral fracture surgeries were divided into three groups randomly. Anticoagulants therapy used low molecular weight heparin and warfa?rin; thrombolysis therapy used inferior vena cava filters (IVCF) and urokinase; embolectomy therapy used IVCF and fogarty catheter embolectomy. Results The efficacy of embolectomy was much better than that of throm?bolysis which had better effect than that of anticoagulants group. The incidence of pulmonary embolism (PE) dur?ing the treating course between IVCF treatment group and non-IVCF treatment group was significantly lower (P<0.01). Conclusion Anticoagulants, thrombolysis and embolectomy all show obvious therapeutic effects on the DVT formation but among them, the efficacy of embolectomy is better. The employment of IVCF can re?duce the incidence of PE significantly.