摘要
目的探讨腔内介入治疗急性下肢深静脉血栓形成合并髂静脉闭塞的临床疗效。方法分析北京市垂杨柳医院2017年4月至2018年7月收治的35例急性下肢深静脉血栓形成合并髂静脉闭塞患者的临床资料,所有患者入院后均采用抗凝治疗,下腔静脉置入滤器,并进行导管接触溶栓或AngioJet导管吸栓,髂静脉闭塞行扩张并置入支架,术后常规抗凝治疗并随访观察髂股静脉通畅情况。结果 35例患者术后患肢肿胀快速减轻,31例下肢周径恢复正常;35例患者共置入37枚支架,除4例肿瘤患者外均行滤器回收,所有病例无并发症发生。随访3～12个月,8例患者行走后下肢轻度肿胀,休息后缓解;1例患者股静脉通畅,但髂静脉支架闭塞;余34例患者下肢静脉及髂静脉通畅;所有患者均未再复发血栓。结论腔内介入治疗急性下肢深静脉血栓形成并髂静脉闭塞安全有效,可快速缓解下肢肿胀,临床效果满意。
Objective To evaluate the clinical effect of endovascular intervention for acute deep vein thrombosis(DVT) with iliac vein occlusion. Method The data of a total of 35 patients with DVT complicated with iliac vein occlusion was reviewed from April 2017 to Jul 2018. All cases were treated with anticoagulant、inferior vena cava ? lter implantation, catheter directed thrombolysis and AngioJet percutaneous mechanical thrombectomy, balloon dilatation and stent implantation for iliac occlusion. Routinely anticoagulation was performed after treatment and iliac vein patency were followed-up. Result The limb circumference difference of thigh and calf was become normal in 35 cases;total 37 self-expandable stents were implanted successfully;all inferior vena cava ? lter was removed except 4 oncology patient. All cases were followed up for 3 to 12 months, 8 patients suffered slight lower limb swelling, 1 patient occlusion in iliac vein stent but femoral vein patency. 34 patients iliac and femoral vein examination showed patency and no recurrent thrombosis. Conclusion Endovascular interventional treatment can reduce the swelling of the lower limbs and being safe and effective for acute DVT complicated iliac vein occlusion.
作者
杨永久
满新贺
丁旭
李力宏
YANG Yong-jiu;MAN Xin-he;DING Xu;LI Li-hong(Department of Vascular Surgery,Beijing Chuiyangliu Hospital,Beijing 100022,China)
出处
《中国医刊》
CAS
2019年第3期293-295,共3页
Chinese Journal of Medicine
