改良式球囊血栓抽吸术治疗急性下肢深静脉血栓

发布时间：2018-05-17 03:40

本文选题：下肢 + 静脉血栓　；参考：《中国介入影像与治疗学》2015年08期

【摘要】：目的探讨采用改良式球囊血栓抽吸术配合乆静脉入路深静脉置管溶栓治疗下肢深静脉血栓(DVT)的技术、方法和疗效。方法对76例DVT患者采用改良式球囊血栓抽吸术配合经皮乆静静脉穿刺深静脉置管溶栓治疗(治疗组),对137例急性期DVT患者采用患肢足背静脉溶栓方法治疗(对照组),比较两组患者的疗效。结果治疗组,76例患者的治疗效果满意,技术成功率100%,治疗前后血管周径差差异有统计学意义(t=2.91,P0.01),血管通畅率90.79%(69/76),并发症发生率15.79%(12/76);对照组治疗前后血管周径差差异有统计学意义(t=2.21,P=0.03),血管通畅率59.85%(82/137),并发症发生率24.82%(34/137)。结论采用改良式球囊血栓抽吸术联合乆静静脉入路深静脉置管溶栓技术治疗DVT是一种安全、有效的方法,且疗效满意。
[Abstract]:Objective to explore the technique, method and curative effect of modified balloon thrombolysis combined with deep vein thrombolytic therapy in the treatment of deep venous thrombosis of lower extremity. Methods 76 patients with DVT were treated with modified balloon thromboembolization combined with percutaneous thrombolytic therapy of deep vein catheterization via venipuncture (treatment group, 137 patients with acute DVT were treated with thrombolytic therapy of dorsal foot vein of affected limb) (control group). The curative effect of the two groups was compared. Results the curative effect of 76 patients in the treatment group was satisfactory. The technical success rate was 100. There were significant differences in vessel circumference difference between before and after treatment. The patency rate of blood vessel was 90.79% 69 / 76, and the incidence of complications was 15.79%. The difference between control group and control group was statistically significant. The vascular patency rate was 59.85% 82137%, and the complication rate was 24.822% 137m. Conclusion it is a safe and effective method to treat DVT with modified balloon thrombolysis combined with deep vein thrombolytic technique.
【作者单位】：宝鸡市中医医院介入科;
【分类号】：R543.6;R815

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