摘要
８３例８９侧急性下肢深静脉血栓形成病人经治疗后随访１～１０年。手术取栓组（４８侧肢体）与尿激酶溶栓组（４１侧肢体）在随访期中，色素沉着发生率分别为３２．５％和４５．５％，淤血性溃疡发生率前者１０％，后者２４．２％。作者认为，Ｆｏｇａｒｔｙ导管取栓术，有利于保护患肢的静脉瓣膜功能，促进盆腔建立侧支循环。尤其股 静脉瓣膜功能的存在是预防下肢静脉炎综合征的关键。本文通过下肢深静脉血栓形成的静脉造影观察，提出了静脉血栓形成的Ｘ线诊断标准和三型分类法，文内还就分型临床意义进行讨论。
ighty-nine limbs of 83 patients with acute deep vein thrombosis of the lower ex-tremity had been followed for 1 to 10 years.Throughout the follow-up period, the cu- mulative incidence of pigmentation was 32.5%for thrombectomy group(48 limbs)and45.5%for thrombolysis group(41 limbs),and the occurrence of stasis ulceration was10%and 24.2%respectively,Fogarty thrombectomy preseryed venous valve functionand improved intrapelvic collateral circulation。The preservation of valves in the femoro- popliteal veins is regarded as a key point for the prevention of postthrombotic syndrome.According to the phlebographic study of thrombosis in the deep veins of lowerlimbs,the criteria of radiological classification for diagnosis and its clinical signifi-cance are presented and discussed。
出处
《上海医学》
CAS
CSCD
北大核心
1994年第2期78-82,共5页
Shanghai Medical Journal
关键词
深静脉
溶栓疗法
血栓形成
Acute deep vein thrombosis
Thrombectomy
Thrombolysis Postthrombotic syndrome
