| 刘飒华,肖占祥,戚悠飞,岳 劼,陈 浩,李灼日.急性右下肢深静脉血栓的临床治疗分析[J].,2018,(18):3525-3528 |
| 急性右下肢深静脉血栓的临床治疗分析 |
| Analysis of the Clinical Treatment of Acute Deep Venous Thrombosis of Right Lower Extremity |
| 投稿时间：2018-05-07 修订日期：2018-05-31 |
| DOI：10.13241/j.cnki.pmb.2018.18.028 |
| 中文关键词: 右下肢深静脉血栓形成 肺栓塞 导管接触溶栓 下腔静脉滤器 |
| 英文关键词: Deep vein thrombosis of right lower extremity Pulmonary embolism Catheter contact thrombolysis Inferior vena cava filter |
| 基金项目:海南省社会发展科技专项基金资助项目(2015SF04) |
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| 中文摘要: |
| 摘要 目的：探讨右下肢深静脉血栓的临床治疗方法。方法：对我院2015年6月-2017年6月收治的63例右下肢深静脉血栓形成患者进行回顾性分析，从小腿周径差、彩超检查及造影3方面对疗效进行评价，并统计导管接触溶栓后患者复查肺部增强CT情况。结果：63例患者中，57例进行导管接触溶栓+下腔静脉滤器，6例进行导管接触溶栓+下腔静脉滤器+肺动脉碎栓、溶栓。治疗后，患者小腿周径差较治疗前明显降低，差异具有统计学意义(P＜0.05)。患者显效26例，有效28例，好转8例，无效1例，临床治愈率为85.7%。63例下腔静脉滤器，取出60例，3例留置为永久性滤器。新增肺栓塞12例，无致死性肺栓塞发生。结论：导管接触溶栓对右下肢深静脉血栓的治疗效果较好，但导管接溶栓时有较高肺栓塞发生率，应积极放置下腔静脉滤器。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the treatment of deep venous thrombosis of the right lower extremities. Methods: 63 cases of patients with deep venous thrombosis of right lower limbs in our hospital from June 2015 to June 2017 were retrospectively analyzed. The curative effect was evaluated from 3 aspects: leg circumference difference, color Doppler ultrasonography and angiography. Statistical analysis was performed by pulmonary enhanced CT after catheter contact thrombolysis. Results: In 63 cases of patients, 57 cases had catheter contact thrombolytic and inferior vena cava filter, 6 cases underwent catheter contact thrombolysis + inferior vena cava filter + pulmonary artery thrombolysis and thrombolysis. After treatment, the difference of leg circumference was significantly lower than before treatment (P<0.05). 26 cases were markedly effective, 28 cases were effective, 8 cases were improved, 1 case was invalid. The clinical cure rate was 85.7%. In 63 cases of patients with inferior vena cava filter, 60 cases of patients were removed and 3 patients were perma- nently detained. There were 12 new cases of pulmonary embolism and no fatal pulmonary embolism. Conclusion: Catheter contact thrombolytic therapy was effective on right lower extremity deep venous thrombosis, but there was a higher incidence of pulmonary em- bolism with catheter contact thrombolysis, and the inferior vena cava filter should be actively placed. |
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