摘要
目的回顾性分析下肢深静脉血栓(DVT)综合性介入治疗的方法及疗效,并就相关临床资料和并发症进行总结。方法收集2000年8月-2010年8月DVT患者196例,先经健侧股静脉穿刺置管行髂股静脉造影明确血栓部位与程度。196例中,放置下腔静脉滤器185例,髂静脉支架21例,采用经导管溶栓、扩张球囊破栓。若球囊对狭窄部扩张疗效较差,则植入支架,196例中36例髂总静脉植入支架。对髂、股静脉开口闭塞者行超声引导下腘静脉穿刺。根据溶栓的不同阶段采用不同的给药方法,如团注法、滴注法和双路法。结果 185例滤器放置成功率为100%,留置导管时间3～11 d,平均6.8 d。治愈136例,明显有效48例,有效9例,无效3例,总有效率达98%。结论采用综合性介入治疗技术治疗下肢DVT安全可靠、疗效肯定。
Objective To assess the value of comprehensive interventional therapy in treating deep vein thrombosis（DVT） of lower extremities,and to retrospectively analyze the clinical data and related complications in patients with DVT of lower extremities.Methods A total of 196 patients with DVT,encountered in hospital during the period from Aug.2000 to Aug.2010,were enrolled in the study.Iliofemoral venography of the diseased side via the femoral vein on the healthy side was performed first to determine the location and extent of the DVT.In all of the 196 cases,a total of 185 filters were placed in inferior vena cava and 21 iliac vein stents were employed.The transcatheter thrombolysis,balloon dilatation technique and intravascular stent implantation were used to treat the DVT.The percutaneous puncture of popliteal vein was performed under ultrasonic guidance in patients with occlusion of the openings of iliac and femoral veins.The methods of drug administration for thrombolysis included catheter-directed thrombolytic infusion,thrombolytic instillation and infusion combined with instillation.Results A total of 185 patients received implantation of filter in inferior vena cava,and 21 patients underwent intravascular stent implantation in iliac veins.The mean retention time of indwelling catheters was 6.8 days（ranging from 3 to 11 days）.The therapeutic outcome was completely curative in 136,obviously effective in 48,effective in 9 and inefficient in 3 patients,with a total effective rate of 98%.Conclusion The comprehensive interventional therapy is a safe and effective treatment for patients with DVT of lower extremities.
出处
《介入放射学杂志》
CSCD
北大核心
2011年第10期788-791,共4页
Journal of Interventional Radiology
关键词
深静脉血栓
下肢
介入治疗
deep vein thrombosis
lower extremity
interventional therapy
