CAJ | 학술논문

目的比较手术取栓与导管溶栓治疗Cockett综合征继发急性下肢深静脉血栓形成(deep venous thrombosis,DVT)的近、远期疗效.方法回顾性分析2006年1月至2011年12月102例Cockett综合征继发急性DVT患者的临床资料.导管溶栓组(A组)52例,手术取栓组(B组)50例.术后均口服华法林抗凝至少6个月.结果 2组患者术前一般资料具有可比性.A组术后消肿率83％ ±6％,B组为82％±8％,A组静脉通畅率64.6％±6.7％,B组为65.3％±7.2％,差异均无统计学意义(均P＞0.05)；A组平均手术时间少于B组[(30.5±6.7)min比(97.5±23.6) min,P＜0.01].A组平均住院时间少于B组[(9.8±5.4)d比(17.7±8.2)d,P＜0.01].A组并发症的发生率低于B组[13.4％比42％,P＜0.01].86例获随访,随访率84.3％.平均随访时间A组(18±8.7)个月,B组(16.8±10.2)个月,2组在大腿周径差、静脉通畅评分、后遗症发生率的方面差异均无统计学意义(均P＞0.05).结论导管溶栓与手术取栓治疗DVT近、远期疗效相当.导管溶栓组住院时间短,并发症少.
목적 비교수술취전여도관용전치료Cockett종합정계발급성하지심정맥혈전형성(deep venous thrombosis,DVT)적근、원기료효.방법 회고성분석2006년1월지2011년12월102례Cockett종합정계발급성DVT환자적림상자료.도관용전조(A조)52례,수술취전조(B조)50례.술후균구복화법림항응지소6개월.결과 2조환자술전일반자료구유가비성.A조술후소종솔83％ ±6％,B조위82％±8％,A조정맥통창솔64.6％±6.7％,B조위65.3％±7.2％,차이균무통계학의의(균P＞0.05)；A조평균수술시간소우B조[(30.5±6.7)min비(97.5±23.6) min,P＜0.01].A조평균주원시간소우B조[(9.8±5.4)d비(17.7±8.2)d,P＜0.01].A조병발증적발생솔저우B조[13.4％비42％,P＜0.01].86례획수방,수방솔84.3％.평균수방시간A조(18±8.7)개월,B조(16.8±10.2)개월,2조재대퇴주경차、정맥통창평분、후유증발생솔적방면차이균무통계학의의(균P＞0.05).결론 도관용전여수술취전치료DVT근、원기료효상당.도관용전조주원시간단,병발증소.
Objective To study the short-and long-term results for Cockett syndrome caused acute deep vein thrombosis (DVT) of the lower extremity by surgical thrombectomy or catheter-directed thrombolysis.Methods One hundred and two Cockett syndrome caused acute DVT cases were treated by surgical thrombectomy or catheter-directed thrombolysis (CDT) from Jan 2006 to Dec 2011.There were 52 patients treated by CDT (group A),and 50 cases by surgical thrombectomy (group B).All patients received warfarin treatment after operation.Results There were no significant differences in general clinical characteristics between the two groups.The limb edema reduction rates between the two groups were of no significant difference(83％ ± 6％ vs.82％ ± 8％ P ＞ 0.05).The venous patency were basically the same (64.6％ ± 6.7％ vs.65.3％ ± 7.2％,P ＞ 0.05).The mean time required was shorter in group A than in group B[(30.5 ±6.7) min vs.(97.5 ±23.6) min,P ＜0.01].The average hospital stay was shorter [(9.8±5.4) d vs.(17.7 ±8.2) d,P＜0.01],and morbidity was less[13.4％ vs.42％,P＜0.01].Eighty six patients were followed up.The circunference difference of thigh,the score of vein patency between the two groups were of no significant difference (P ＞ 0.05).Conclusions Compared with surgical group,patients in CDT group have shorter hospital stay,less complication and similar long and shortterm results.