摘要
目的探讨机械性血栓抽吸治疗中央型下肢深静脉血栓形成(lower extremity deep venous thrombosis,LED-VT)的临床疗效。方法回顾分析我院2005年4月～2009年1月236例急性中央型LEDVT病例的临床资料。经健侧股静脉置入下腔静脉滤器,患侧股静脉插入12～14F鞘管手动抽吸髂股段静脉血栓。112例合并髂静脉狭窄或闭塞患者,行PTA和支架置入术;术后辅以肝素抗凝治疗。结果出院时健、患肢膝上、下15cm处周径差降为(1.34±0.57)cm和(0.93±0.42)cm,与入院比较差异有统计学意义(t=19.37和23.99,P=0.00);随访16～48个月,中位随访35个月,随访率97.88%。术后36个月,水肿、色素沉着、溃疡等后遗症发生率:12.99%(30/231)、8.23%(19/231)、0%;静脉通畅率98.27%;随访疗效:优92.21%。支架置入术后12、24、36个月通畅率均100%。结论机械性血栓抽吸治疗中央型下肢深静脉血栓疗效显著,并发症少,住院周期短,能够明显降低后遗症的发生率。
Objective To discuss the clinical effect of mechanical aspiration thrombectomy for acute lower extremity deep venous thrombosis of central type. Methods The clinical data of 236 patients with acute LEDVT of mixed type from April 2005 to January 2009 were analyzed retrospectively. All the patients were implanted inferior vena cava filter, then inserted an 12~14 F catheter to the femoral vein of affected limbs to aspirate thromhus mechanically. 112 cases who had common lilac vein stenosis or occlusion took methods of PTA and Stenting. A small dose heparin was used to anti-coagulation after operation. Results The circumference differences of knee-joint＇s above and below 15 cm of healthy and affected limbs at discharge were （1.34_--4-0.57） and （0.93＋0.42） cm, the difference had statistical significance compared with at admission （ t = 19.37 and 23. 99; both P = 0. 000）. The morbidity of edema, pigmentation, and ulcer were 12. 99%o （30/231）, 8.23%（19/231）, 0%. The venous patency was 98. 27%. The follow up clinical effect was excellent that took up 92.21%. The rates of stent patency of 12.24.36 months follow-up were all 100%. Conclusion The clinical effect of me- chanical aspiration thrombectomy for acute lower extremity deep venous thrombosis of central type is remarkable, has fe- wer complication, and the hospitalization duration is shorter, and can obviously decrease the incidence of sequelae.
出处
《医学影像学杂志》
2013年第2期310-313,321,共5页
Journal of Medical Imaging
关键词
深静脉血栓形成
机械性血栓抽吸
支架置入
介入性
Deep venous thrombosis~ Mechanical aspiration thrombus Stenting
Interventional
