CAJ | 학술논문

目的：分析研究导管溶栓术（ CDT）治疗急性下肢深静脉血栓形成（ DVT）的早中期疗效。方法分析2009年1月～2014年9月CDT治疗的28例急性下肢DVT患者的临床资料。全部患者均行患肢静脉造影，以判断疗效。结果28例CDT手术技术成功率100％，全组患者术中、术后均无严重并发症发生。溶栓前后静脉通畅评分比较差异显著（t＝13．926，P＜0．01）。溶栓后静脉通畅率为（60±19）％。结论 CDT治疗急性下肢DVT早中期疗效较好，并发症少，值得在临床上使用。
목적：분석연구도관용전술（ CDT）치료급성하지심정맥혈전형성（ DVT）적조중기료효。방법분석2009년1월～2014년9월CDT치료적28례급성하지DVT환자적림상자료。전부환자균행환지정맥조영，이판단료효。결과28례CDT수술기술성공솔100％，전조환자술중、술후균무엄중병발증발생。용전전후정맥통창평분비교차이현저（t＝13．926，P＜0．01）。용전후정맥통창솔위（60±19）％。결론 CDT치료급성하지DVT조중기료효교호，병발증소，치득재림상상사용。
Objective To analyze therapeutic effect of early and middle-stage catheter direct thrombolysis therapy in the treatment of acute deep vein thrombosis of lower limbs.Mtehods We retrospectively analyzed the clinical infor-mation among 28patients of acute deep vein thrombosis in lower limbs , who were treated with catheter direct thrombolysis therapy in our hospital from January 2009 to September2014.All patients were detected with the venography at the af -fected limbs,to determine the efficacy.Results The success rate of catheter direct thrombolysis therapy was 100% in 28 patients of acute deep vein thrombosis in lower limbs.No intraoperative and postoperative complications were found. There were significant differences in the venous patency scores before and after thrombolysis therapy ( t=13.926, P<0.01).The venous patency rate was (60 ±19)%after thrombolysis.Conclusions Catheter direct thrombolysis therapy has early and middle-stage efficacy in treatment of acute deep vein thrombosis of lower limbs, and induces few compli-cations, therefore it deserves clinical application.