CAJ | 학술논문

目的：初步探讨经胫后静脉导管溶栓治疗下肢深静脉血栓的疗效。方法：对我院2013年9月－2015年4月收治的79例混合型及中央型深静脉血栓形成患者施行了经胫后静脉导管溶栓治疗，以术前、术后肢体的围径差以及静脉通畅情况评估疗效。结果：经胫后静脉置管行导管溶栓治疗患者，溶栓导管平均置放时间为（5．14±1．02）d 。术后静脉通畅率显著改善，置管溶栓术后小腿围径差显著改善，期间3例发生出血并发症，无肺动脉栓塞等并发症发生。结论：经胫后静脉置管导管溶栓治疗下肢深静脉血栓是一种有效、安全的方法。
목적：초보탐토경경후정맥도관용전치료하지심정맥혈전적료효。방법：대아원2013년9월－2015년4월수치적79례혼합형급중앙형심정맥혈전형성환자시행료경경후정맥도관용전치료，이술전、술후지체적위경차이급정맥통창정황평고료효。결과：경경후정맥치관행도관용전치료환자，용전도관평균치방시간위（5．14±1．02）d 。술후정맥통창솔현저개선，치관용전술후소퇴위경차현저개선，기간3례발생출혈병발증，무폐동맥전새등병발증발생。결론：경경후정맥치관도관용전치료하지심정맥혈전시일충유효、안전적방법。
Objective :To investigate the curative effect of catheter‐directed thrombolysis(CDT) via the posterior tibial vein(PTV) treating deep venous thrombosis(DVT ) .Methods :79 cases diagnosed with mixed type and central type deep vein thrombosis underwent catheter‐directed thrombolysis(CDT ) via the posterior tibial vein(PTV) ,assessed the cura‐tive effect by measuring the preoperative and postoperative affected limb Perimeter and venous flow situation .Results :The average thrombolysis time was (5 .14 ± 1 .02) days .The venous patency was significantly improved after the oper‐ation ,and the affected limb perimeter was significantly decreased .There is no critical complications except hemorrhage occurred in 3 cases .Conclusion :It is safe and effective for deep venous thrombosis patients treated with Catheter direct‐ed thrombolysis via posterior tibial vein .