CAJ | 학술논문

目的:对比评价介入导管溶栓与外周静脉溶栓治疗下肢深静脉血栓的疗效.方法:对88例深静脉血栓病例分别行介入导管溶栓(44例)和外周静脉溶栓(44例),观察治疗前后下肢周径变化、血管通率以及并发症的发生率.结果:两组治疗后下肢周径均有显著缩小;住期间、治疗后6个月、12个月血管通率,介入组优外周组(P<0.05);介入组出血并发症高外周组(P<0.01).结论:介入导管溶栓治疗外周静脉血栓具有血栓溶解率高、期通率高、操作简便、并发症少且可控等优点.
목적:대비평개개입도관용전여외주정맥용전치료하지심정맥혈전적료효.방법:대88례심정맥혈전병례분별행개입도관용전(44례)화외주정맥용전(44례),관찰치료전후하지주경변화、혈관통솔이급병발증적발생솔.결과:량조치료후하지주경균유현저축소;주기간、치료후6개월、12개월혈관통솔,개입조우외주조(P<0.05);개입조출혈병발증고외주조(P<0.01).결론:개입도관용전치료외주정맥혈전구유혈전용해솔고、기통솔고、조작간편、병발증소차가공등우점.
Objective To comparatively evaluate the efficacy of catheter-directed and peripheral intrave?nous thrombolytic therapies for Lower extremity deep vein thrombosis. Methods Respectively application of cather-directed thrombolysis(44 cases) and peripheral intravenous thrombolysis (44 cases) were done in 88 pa?tients,to observe the lower extremity circumference change, blood vessel patency rate and complication incidenc?es before and after treatment. Results The lower limb circumferences were significantly reduced in both groups after treatment. During hospitalization, the 6 months,the 12 months after treatment, the blood vessel paten?cy rate in the intervention group was superior to the periphery group(P<0.05),bleeding-related complications in the intervention group was higher than the periphery group(P<0.01). Conclusion Catheter-directed throm?bolysis has the advantages of higher thrombolysis rate, higher long-term patency rate,simpler operation,fewer complications and controllability.