CAJ | 학술논문

目的：对比经导管溶栓与经患肢足背静脉顺行溶栓治疗急性下肢深静脉血栓形成的疗效及安全性。方法回顾性分析60例经造影明确诊断的急性下肢深静脉血栓形成患者的临床资料，其中采用经导管溶栓治疗的患者为A组（30例），采用经患肢足背静脉顺行溶栓治疗的患者为B组（30例）。对比两组患者的治疗效果、患肢消肿率、深静脉通畅度等。结果两组均成功完成溶栓治疗。患肢消肿率A组为（82.39％±16.28％），B组为（62.58％±18.87％）；静脉通畅度A组为（62.18％±18.39％）， B组为（39.28％±23.36％），差异均有统计学意义（P＜0.05）。结论经导管溶栓治疗急性下肢深静脉血栓形成较经患肢足背静脉顺行溶栓疗效好，可部分取代经患肢足背静脉顺行溶栓治疗。
목적：대비경도관용전여경환지족배정맥순행용전치료급성하지심정맥혈전형성적료효급안전성。방법회고성분석60례경조영명학진단적급성하지심정맥혈전형성환자적림상자료，기중채용경도관용전치료적환자위A조（30례），채용경환지족배정맥순행용전치료적환자위B조（30례）。대비량조환자적치료효과、환지소종솔、심정맥통창도등。결과량조균성공완성용전치료。환지소종솔A조위（82.39％±16.28％），B조위（62.58％±18.87％）；정맥통창도A조위（62.18％±18.39％）， B조위（39.28％±23.36％），차이균유통계학의의（P＜0.05）。결론경도관용전치료급성하지심정맥혈전형성교경환지족배정맥순행용전료효호，가부분취대경환지족배정맥순행용전치료。
Objective To compare the efficacy and safety of catheter-directed thrombolysis (CDT) and trans-dorsalis pedis vein thrombolysis in treating lower extremity deep venous thrombosis (LEDVT). Methods The clinical data of 60 patients who were diagnosed as acute LEDVT by lower extremity venography were retrospectively analyzed. Group A consisted of 30 patients treated with CDT and group B consisted of 30 patients treated with trans-dorsalis pedis vein thrombolysis. The treatment effect, detumescence rate of illness limb and patency rate of deep vein of group A were compared with those of group B. ResuIts The thrombolysis therapy of group A and group B was conducted successfully. The detumescence rate of illness limb of goup A was (82.39%±16.28%) while that of group B was (62.58%±18.87%) .The patency rate of deep vein of goup A was (62.18%±18.39%) while that of group B was (39.28%±23.36%) .There were signi昀cant differences between group A and group B in terms of detumescence rate of illness limb and patency rate of deep vein (P<0.05). ConcIusion CDT with higher curative effect for acute LEDVT can partly displace trans-dorsalis pedis vein thrombolysis in treating acute LEDVT.