摘要
目的探讨不同入路进行置管溶栓治疗下肢深静脉血栓形成的有效性、应用价值及优缺点。方法回顾总结2012年5月—2014年5月经患侧腘静脉、右侧颈内静脉及健侧股静脉穿刺入路行置管溶栓治疗下肢深静脉形成的136例病例,观察并发症及疗效。结果三种入路方式在患肢术后周径差及静脉通畅度评分方面与术前相比均有明显差异(P<0.01),但三组间患肢消肿率与静脉通畅改善度比较无明显差别(P>0.05);在置管溶栓并发症方面的差异无统计学意义(P>0.05);三种入路在患者卧床时间方面差异有统计学意义(P=0.042),在平均穿刺时间、置管成功率、溶栓消肿率及静脉通畅改善度方面无统计学差异(P>0.05)。结论下肢深静脉置管溶栓能够较好改善下肢深静脉血栓形成症状及通畅程度,经患肢腘静脉、右侧颈内静脉及健侧股静脉三种入路方式均能取得较好疗效,三者之间各有不同优缺点,临床应根据不同情况予以个体化选择。
Objective To investigate the validity,application of value,the advantages and disadvantages of catheter directed thrombolysis（ CDT） of different approach for the deep venous thrombosis（ DVT） in the lower extremity. Methods By reviewing the 136 cases suffering from DVT who were punctured the sick popliteal vein,or right internal jugular vein,or healthy side femoral vein from May 2012 to May 2014 to observe the effect and complication. Results The difference about venous patency and diameter postoperative is significant（ P〈0. 01） compared with preoperative in all three groups. But there is no significant about limb swelling ration and vein patency improvement within three groups（ P〉0. 05）. It is statistically significant about the time in bed for three approaches（ P = 0. 042）. About the mean time of puncture,the success rate of catheterization thrombolysis,swelling rate and improve the degree of venous patency,there is no significant difference（ P〈0. 05）. Conclusion CDT can improve the symptoms and vein patency in the lower limb deep venous thrombosis. The three approaches can obtain better effect,and each of them has different advantages and disadvantages,so we should accord to different condition to decide how to do.
出处
《医药论坛杂志》
2015年第10期39-42,45,共5页
Journal of Medical Forum
关键词
深静脉血栓形成
溶栓
入路
置管
腘静脉
Deep venous thrombosis
Thrombolysis
Approach
Catheter directed thrombolysis popliteal vein
