摘要
目的对比分析Angiojet机械血栓清除与经皮人工血栓抽吸治疗急性下肢深静脉血栓形成的疗效。方法回顾性分析2014年7月至2018年11月急性左下肢深静脉血栓形成经介入治疗的62例患者的相关资料。其中31例接受Angiojet机械血栓清除治疗(Angiojet组),31例接受经皮人工血栓抽吸治疗(MAT组),对比分析两组住院时间、置管溶栓时间、血栓清除率、并发症发生率的差异。结果Angiojet组住院时间9~29 d,平均(19.23±5.29)d,置管溶栓时间2~9 d,平均(4.61±1.75)d,血栓清除率3级18例,2级12例,1级1例,并发症发生率9.7%。MAT组住院时间11~34 d,平均(19.68±5.79)d,置管溶栓时间4~10 d,平均(6.16±1.66)d,血栓清除率3级6例,2级16例,1级9例,并发症发生率32.3%。两组患者住院时间差异无统计学意义(P>0.05),置管时间差异有统计学意义(P<0.05),血栓清除率差异有统计学意义(P<0.05),术后并发症发生率差异有统计学意义(P<0.05)。结论急性下肢深静脉血栓形成采用Angiojet机械血栓清除治疗较经皮人工血栓抽吸治疗疗效及预后更好,但在住院时间方面没有明显差异。
Objective Onto compare the efficacies between Angiojet mechanical thrombectomy and percutaneous mechanical thrombectomy in the treatment of acute deep venous thrombosis(DVT)of lower extremities.Methods The related data in 62 patients with acute left lower extremity DVT treated by interventional therapy from July 2014 to November 2018 were retrospectively analyzed,including 31 cases received Angiojet mechanical thrombectomy and 31 cases received percutaneous thrombectomy.The differences between the hospitalization time,catheter thrombolysis time,thrombus clearance rate and complication occurrence rate.Were analyzed and compared between the two groups.Results In the Angiojet mechanical thrombectomy group,the hospitalization time was 9-29 d[average(19.23±5.29)d],catheter thrombolysis time was 2-9 d[average(4.61±1.75)d],the thrombus clearance rates were the grade 3 in 18 cases,grade 2 in 12 cases and grade 1 in 1 case,the incidence rate of complications was 9.7%;in the percutaneous artificial thrombus suction group,the hospitalization time was 11-34 d[mean(19.68±5.79)d],the catheter thrombolysis time was 4-10 d[mean(6.16±1.66)d],thrombus clearance rates were the grade 3 in 6 cases,grade 2 in 16 cases and grade 1 in 9 cases,the incidence rate of complications was 32.3%.The remaining patients in the two groups had no relapse or other complications in the end of follow up.The hospitalization time had no statistical difference between the two groups(P>0.05).The catheterization time and the thrombus clearance rate had statistically significant difference between the two groups(P<0.05).Conclusion Adopting the Angiojet mechanical thrombectomy for treating acute deep venous thrombosis of lower extremities has better effect and better prognosis compared with percutaneous mechanical thrombectomy,but the total hospitalization duration had no significant difference.
作者
王蒙
刘海勇
WANG Meng;LIU Haiyong(Chengde Medical College,Cangzhou,Hebei 061000,China;Department of General and Vascular Surgery,Affiliated Cangzhou Municipal People′s Hospital,Chengde Medical College,Cangzhou,Hebei 061000,China)
出处
《重庆医学》
CAS
2020年第6期949-952,共4页
Chongqing medicine
