中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2014年
4期
265-268
,共4页
张希全%王义平%朱亮%潘晶晶%郝斌%任可伟
張希全%王義平%硃亮%潘晶晶%郝斌%任可偉
장희전%왕의평%주량%반정정%학빈%임가위
静脉血栓形成%血栓溶解疗法%支架%机械性血栓抽吸
靜脈血栓形成%血栓溶解療法%支架%機械性血栓抽吸
정맥혈전형성%혈전용해요법%지가%궤계성혈전추흡
Venous thrombosis%Thrombolytic therapy%Stents%Mechanical aspiration thrombectomy
目的 总结机械性血栓抽吸或配合球囊取栓与血管成形术及置管溶栓治疗下肢深静脉血栓形成(lower extremity deep venous thrombosis,LEDVT)的中、远期疗效. 方法 回顾性分析解放军第一四八医院2000年1月至2010年6月收治的1 068例LEDVT患者的临床资料.单纯介入取栓271例,介入取栓加动脉留置导管溶栓537例,介入取栓加足背静脉顺流溶栓260例;492例合并髂静脉严重狭窄或闭塞行血管成形治疗.结果 1 068例术后均随访36个月,水肿、色素沉着和慢性溃疡发生率10.26％、7.28％和1.55％;通畅无反流、通畅有反流、残余附壁血栓及闭塞率为84.25％、8.95％、4.3％、2.5％;腘静脉通畅率、残余血栓及闭塞率为93.32％、5.49％、1.19％.髂静脉支架植入36个月通畅率92.28％.结论 LEDVT腔内治疗中、远期疗效显著,能最大程度保护静脉瓣膜功能,显著降低血栓后遗症发生率.
目的 總結機械性血栓抽吸或配閤毬囊取栓與血管成形術及置管溶栓治療下肢深靜脈血栓形成(lower extremity deep venous thrombosis,LEDVT)的中、遠期療效. 方法 迴顧性分析解放軍第一四八醫院2000年1月至2010年6月收治的1 068例LEDVT患者的臨床資料.單純介入取栓271例,介入取栓加動脈留置導管溶栓537例,介入取栓加足揹靜脈順流溶栓260例;492例閤併髂靜脈嚴重狹窄或閉塞行血管成形治療.結果 1 068例術後均隨訪36箇月,水腫、色素沉著和慢性潰瘍髮生率10.26％、7.28％和1.55％;通暢無反流、通暢有反流、殘餘附壁血栓及閉塞率為84.25％、8.95％、4.3％、2.5％;腘靜脈通暢率、殘餘血栓及閉塞率為93.32％、5.49％、1.19％.髂靜脈支架植入36箇月通暢率92.28％.結論 LEDVT腔內治療中、遠期療效顯著,能最大程度保護靜脈瓣膜功能,顯著降低血栓後遺癥髮生率.
목적 총결궤계성혈전추흡혹배합구낭취전여혈관성형술급치관용전치료하지심정맥혈전형성(lower extremity deep venous thrombosis,LEDVT)적중、원기료효. 방법 회고성분석해방군제일사팔의원2000년1월지2010년6월수치적1 068례LEDVT환자적림상자료.단순개입취전271례,개입취전가동맥류치도관용전537례,개입취전가족배정맥순류용전260례;492례합병가정맥엄중협착혹폐새행혈관성형치료.결과 1 068례술후균수방36개월,수종、색소침착화만성궤양발생솔10.26％、7.28％화1.55％;통창무반류、통창유반류、잔여부벽혈전급폐새솔위84.25％、8.95％、4.3％、2.5％;객정맥통창솔、잔여혈전급폐새솔위93.32％、5.49％、1.19％.가정맥지가식입36개월통창솔92.28％.결론 LEDVT강내치료중、원기료효현저,능최대정도보호정맥판막공능,현저강저혈전후유증발생솔.
Objective To evaluate the mid-term and long-term result of mechanical aspiration thrombectomy or combined with balloon thrombectomy,venoplasty and catheter-directed thrombolysis therapy for lower extremity deep venous thrombosis.Methods Clinical data of 1 068 admitted patients were analysed retrospectively from January 2000 to June 2010.Among these patients,271 cases were treated by thrombectomy only,537 cases received thrombectomy with arterial catheter-directed thrombolysis,260 cases were treated by thrombectomy with dorsalis pedis vein thrombolysis,492 patients with stenosis or obstruction of iliac vein underwent venoplasty treatment.Results After 36 month follow-up edema,pigmentation and chronic ulcers were 10.26％,7.28％,1.55％ respectively.The patency without reflux,patency with reflux,residual thrombus,occlusion rate of the iliofemoral vein were 84.25％,8.95％,4.3％,2.5％ respectively; The patency,residual thrombus and occlusion rate of popliteal vein were 93.32％,5.49％,1.19％.Iliac vein stent patency rate was 92.28％.Conclusions Endovascular treatment for lower extremity deep venous thrombosis was a reasonable therapy with a satisfactory mid-term and long-term result,protecting venous valve function and reducing the morbidity of post-thrombotic syndrome.
