中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2015年
4期
260-263
,共4页
胡潍青%孙波%裴长安%汲武广%曹广信%张杰峰
鬍濰青%孫波%裴長安%伋武廣%曹廣信%張傑峰
호유청%손파%배장안%급무엄%조엄신%장걸봉
静脉血栓形成%血栓溶解疗法%超声检查,介入性%腘静脉
靜脈血栓形成%血栓溶解療法%超聲檢查,介入性%腘靜脈
정맥혈전형성%혈전용해요법%초성검사,개입성%객정맥
Venous thrombosis%Thrombolytic therapy%Ultrasonography,interventional%Popliteal vein
目的 探讨超声引导下经腘静脉置管溶栓治疗急性下肢深静脉血栓形成的可行性及近期疗效.方法 回顾性分析2010年4月至2013年4月收治的120例单侧急性下肢深静脉血栓形成患者,其中系统溶栓组60例;导管直接溶栓组60例(2例因穿刺未成功,实际58例).计算溶栓率和患肢消肿率,作为疗效评价指标,比较2组患者治疗疗效.结果 肢体消肿率在系统溶栓组:大腿消肿率为(77±9)％;小腿消肿率为(70±11)％;导管直接溶栓组:大腿消肿率为(87±5)％;小腿消肿率为(80±9)％.2组大小腿消肿率的组间比较,差异均有统计学意义(均P ＜0.05).溶栓率在系统溶栓组为(59±14)％,导管直接溶栓组为(71±13)％.2组比较差异有统计学意义(P＜0.05).结论 超声引导下经腘静脉置管溶栓显著提高了下肢深静脉血栓形成的近期溶栓率.
目的 探討超聲引導下經腘靜脈置管溶栓治療急性下肢深靜脈血栓形成的可行性及近期療效.方法 迴顧性分析2010年4月至2013年4月收治的120例單側急性下肢深靜脈血栓形成患者,其中繫統溶栓組60例;導管直接溶栓組60例(2例因穿刺未成功,實際58例).計算溶栓率和患肢消腫率,作為療效評價指標,比較2組患者治療療效.結果 肢體消腫率在繫統溶栓組:大腿消腫率為(77±9)％;小腿消腫率為(70±11)％;導管直接溶栓組:大腿消腫率為(87±5)％;小腿消腫率為(80±9)％.2組大小腿消腫率的組間比較,差異均有統計學意義(均P ＜0.05).溶栓率在繫統溶栓組為(59±14)％,導管直接溶栓組為(71±13)％.2組比較差異有統計學意義(P＜0.05).結論 超聲引導下經腘靜脈置管溶栓顯著提高瞭下肢深靜脈血栓形成的近期溶栓率.
목적 탐토초성인도하경객정맥치관용전치료급성하지심정맥혈전형성적가행성급근기료효.방법 회고성분석2010년4월지2013년4월수치적120례단측급성하지심정맥혈전형성환자,기중계통용전조60례;도관직접용전조60례(2례인천자미성공,실제58례).계산용전솔화환지소종솔,작위료효평개지표,비교2조환자치료료효.결과 지체소종솔재계통용전조:대퇴소종솔위(77±9)％;소퇴소종솔위(70±11)％;도관직접용전조:대퇴소종솔위(87±5)％;소퇴소종솔위(80±9)％.2조대소퇴소종솔적조간비교,차이균유통계학의의(균P ＜0.05).용전솔재계통용전조위(59±14)％,도관직접용전조위(71±13)％.2조비교차이유통계학의의(P＜0.05).결론 초성인도하경객정맥치관용전현저제고료하지심정맥혈전형성적근기용전솔.
Objective To evaluate the feasibility and efficacy of ultrasound-guided popliteal vein catheter thrombolysis for acute deep venous thrombosis of the lower extremity.Methods Clinical data were retrospectively analyzed on 120 patients of unilateral acute lower extremity deep vein thrombosis from April 2010 to April 2013.60 cases were included in systemic thrombolytic group; 60 cases into catheter directed thrombolysis group.Thrombolysis rate and limb swelling reduction rate were calculated and compared between the two groups.Results Due to limb swelling rate,in systemic thrombolysis group:Thigh swelling reduction rate was (77 ± 9) ％ ; Leg swelling reduction rate was (70 ± 11) ％,while in catheter directed thrombolys group,that was (87 ± 5) ％,and (80 ± 9) ％,respectively (P ＜ 0.05).The thrombolysis rate in systemic group was (59 ± 14)％,that was (71 ± 13)％ in catheter directed thrombolysis group (P ＜ 0.05).Conclusions Ultrasound guided precutaneous catheter popliteal vein thrombolysis significantly improves the short-term outcome of deep venous thrombosis in terms of leg swelling reduction rate and thrombolysis reduction rate.
