急性肠系膜上静脉血栓经静脉和动脉途径溶栓比较

发布时间：2018-07-05 08:44

本文选题：肠系膜上静脉血栓形成 + 介入治疗　；参考：《介入放射学杂志》2015年12期

【摘要】：目的对比分析经肠系膜上静脉导管溶栓和经肠系膜上动脉导管溶栓治疗急性肠系膜上静脉血栓形成(SMVT)的临床效果。方法回顾性分析胜利油田中心医院收治的32例急性SMVT患者,其中23例接受经皮肝穿刺肠系膜上静脉导管溶栓治疗(经静脉溶栓组),9例接受经皮股动脉穿刺肠系膜上动脉导管溶栓治疗(经动脉溶栓组)。结果 28例患者临床症状有明显改善,其中经静脉溶栓组患者22例,经动脉溶栓组患者6例。CTA检查显示经静脉溶栓组17例患者肠系膜上静脉血流大部分再通,经动脉溶栓组仅有3例大部分再通。经静脉溶栓组导管溶栓操作时间和曝光时间均明显长于经动脉溶栓组。结论经肠系膜上静脉导管溶栓及经肠系膜上动脉导管溶栓均为治疗急性SMVT的有效方法,前者临床效果更加理想,后者在操作上更为简便。
[Abstract]:Objective to compare the clinical effects of transmesenteric superior mesenteric vein thrombolysis and transmesenteric superior mesenteric artery thrombolysis for acute superior mesenteric vein thrombosis (SMVT). Methods 32 patients with acute SMVT in Shengli Oilfield Central Hospital were retrospectively analyzed. Among them 23 cases received percutaneous transhepatic superior mesenteric vein thrombolytic therapy (transvenous thrombolytic group) 9 cases received percutaneous femoral artery puncture superior mesenteric artery catheter thrombolytic therapy (transarterial thrombolytic group). Results the clinical symptoms of 28 patients were significantly improved, including 22 patients in the transvenous thrombolytic group and 6 patients in the transarterial thrombolytic group. CTA examination showed that 17 patients in the transvenous thrombolytic group had most recanalization of the superior mesenteric vein flow. In the transarterial thrombolysis group, only 3 cases were mostly recanalized. The operation time and exposure time of catheter thrombolysis were significantly longer in the transvenous thrombolysis group than in the transarterial thrombolytic group. Conclusion Transmesenteric vein catheter thrombolysis and transmesenteric artery catheter thrombolysis are effective methods for the treatment of acute SMVT.
【作者单位】：胜利油田中心医院血管介入科;
【分类号】：R572.3

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