[1]蒋 俊,李俊杰,刘曙民,等.三种不同入路置管方式介入治疗急性下肢深静脉血栓疗效研究[J].陕西医学杂志,2021,50(11):1371-1374.[doi:DOI:10.3969/j.issn.1000-7377.2021.11.012]
　JIANG Jun,LI Junjie,LIU Shumin,et al.Curative effect of different accesses of catheter-directed thrombolysis in treatment of acute deep vein thrombosis in lower extremity[J].,2021,50(11):1371-1374.[doi:DOI:10.3969/j.issn.1000-7377.2021.11.012]
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三种不同入路置管方式介入治疗急性下肢深静脉血栓疗效研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年11期
页码:
1371-1374
栏目:
临床研究
出版日期:
2021-11-05

文章信息/Info

Title:
Curative effect of different accesses of catheter-directed thrombolysis in treatment of acute deep vein thrombosis in lower extremity
作者:
蒋 俊; 李俊杰; 刘曙民; 高万河; 韩 雪; 冯建新
(宝鸡市人民医院介入科,陕西 宝鸡 721000)
Author(s):
JIANG Jun; LI Junjie; LIU Shumin; GAO Wanhe; HAN Xue; FENG Jianxin
(Department of Intervention,Baoji People's Hospital,Baoji 721000,China)
关键词:
急性下肢深静脉血栓;  介入治疗;  腘静脉;  小隐静脉;  健侧股静脉;  静脉通畅率
Keywords:
Acute deep venous thrombosis of lower extremity;  Interventional therapy;  Popliteal vein;  Small saphenous vein;  Femoral vein in intact side;  Venous patency rate
分类号:
R 659
DOI:
DOI:10.3969/j.issn.1000-7377.2021.11.012
文献标志码:
A
摘要:
目的:探讨三种不同入路置管方式介入治疗急性下肢深静脉血栓(DVT)的疗效。方法:选取急性下肢DVT患者90例,按照入路置管方式的不同,分为A组、B组和C组,各30例。其中A组选择小隐静脉入路,B组选择经腘静脉入路,C组选择经健侧股静脉入路。比较三组患者的消肿率、静脉通畅率、血栓形成后综合征(PTS)发生率以及并发症发生率。结果:与治疗前相比,治疗后三组的大腿周径差、血栓程度评分均明显降低(均P<0.05); 治疗后,三组大腿周径差、消肿率、血栓程度评分、PTS发生率和并发症发生率比较,差异均无统计学意义(均P>0.05); 治疗后B组的静脉通畅率明显高于A组和C 组(均P<0.05),A组和C组的静脉通畅率比较,差异无统计学意义(P>0.05)。结论:三种入路置管方式治疗急性下肢DVT,均取得较好的治疗效果,经腘静脉入路静脉通畅率高,临床中,应根据患者的个体情况,灵活选择合适的入路方式,以获取最佳的治疗效果。
Abstract:
Objective:To study the effect of different accesses of catheter-directed thrombolysis in the treatment of acute deep vein thrombosis(DVT)in lower extremity.Methods:According to the different accesses of catheterization,90 patients with acute DVT in lower extremity were divided into group A,group B and group C,with 30 cases in each.Group A was carried out via the small saphenous vein access,group B was carried out via the popliteal vein access,and group C was carried out via the femoral vein access in intact side.The edema reduction rate,venous patency rate,incidence of post-thrombotic syndrome(PTS),and complication rate were compared among the three groups.Results:After treatment,the thigh circumference difference and thrombosis degree scores of the three groups were significantly reduced(all P<0.05); the thigh circumference difference,swelling rate,thrombosis degree score,PTS incidence and complication rate of the three groups were not significantly different(all P>0.05); the venous patency rate of group B was significantly higher than that of group A and C(all P<0.05),and there was no statistical difference in the venous patency rate between group A and group C(P>0.05).Conclusion:Three accesses of catheter-directed thrombolysis for acute deep vein thrombosis in lower extremity have achieved good therapeutic effect and safety.The venous patency rate of popliteal vein access is highest.To obtain better therapeutic effect,we should choose the appropriate way flexibly according to the individual condition of the patient.

参考文献/References:

[1] Jiang K,Li XQ,Sang HF,et al.Mid-term outcome of endovascular treatment for acute lower extremity deep venous thrombosis[J].Phlebology,2016,32(3):200-206.
[2] 王 轶,戚 颖.疏血通联合低分子肝素治疗创伤后深静脉血栓疗效及对患者凝血功能和血流动力学水平影响[J].陕西中医,2019,40(1):69-71.
[3] Wang L,Zhang C,Mu S,et al.Safety of catheter-directed thrombolysis for the treatment of acute lower extremity deep vein thrombosis:A systematic review and meta-analysis[J].Medicine,2017,96(35):7922-7928.
[4] 李培永,申东峰.下肢深静脉血栓治疗的研究进展[J].中国药物与临床,2019,19(12):1999-2000.
[5] 中华医学会外科学分会血管外科学组.深静脉血栓形成的诊断和治疗指南(第2版)[J].中华普通外科杂志,2012,5(7):53-57.
[6] Qiang L,Xiao C,Wang Y,et al.Analysis of the occurrence of deep venous thrombosisin lower extremity fractures:A clinical study[J].Pakistan Journal of Medical Sciences,2018,34(4):828-832.
[7] 刘 强,程英升,王永利.腔内血栓清除治疗急性下肢深静脉血栓形成研究进展[J].介入放射学杂志,2018,27(8):97-100.
[8] 王周勤,王家林.下肢深静脉血栓形成11例护理体会[J].陕西医学杂志,2010,39(2):252.
[9] 公茂峰,顾建平,陈国平,等.急性远端孤立型深静脉血栓形成患者治疗方法初探[J].中华放射学杂志,2018,52(8):636-639.
[10] Faustino EVS,Veronika S,Pinto MG,et al.Epidemiology of lower extremity deep venous thrombosis in critically Ⅲ adolescents[J].The Journal of Pediatrics,2018,201(10):176-183.
[11] 蔡冠军.两种不同容量导管溶栓治疗急性中央型下肢深静脉血栓形成临床对比[J].中外医学研究,2018,16(17):166-168.
[12] 朴 龙,李成福,朴 雄,等.不同入路置管溶栓治疗下肢深静脉血栓的疗效比较[J].中国现代医学杂志,2018,28(21):84-87.
[13] 陈 虎,高 涌,刘 鹏,等.不同路径置管溶栓联合介入手术治疗髂静脉压迫综合征合并急性下肢深静脉血栓形成的效果比较[J].中华解剖与临床杂志,2018,23(5):442-445.
[14] 方灿军,潘力生,丁 振,等.经小隐静脉与经腘静脉入路置管溶栓治疗急性下肢深静脉血栓的对比研究[J].中国现代医学杂志,2020,30(5):97-100.
[15] 王小刚.通脉益气方预防骨科手术后深静脉血栓临床观察[J].陕西中医,2017,38(1):72-73.
[16] 尚 昆,王鹏飞,付亚辉,等.超声联合凝血检测对老年髋部骨折患者术后深静脉血栓形成的预测价值[J].陕西医学杂志,2018,47(3):302-304.
[17] 陈 坚,李 沁,党一平,等.经导管直接溶栓联合抗凝与单纯抗凝治疗下肢深静脉血栓的Meta分析[J].临床外科杂志,2018,26(6):459-463.
[18] 卢化祥,黄家麒,黄 晟,等.对侧股静脉入路经皮机械吸栓结合导管接触溶栓治疗急性下肢深静脉血栓形成的效果[J].上海交通大学学报:医学版,2019,39(1):102-105.
[19] 宫蓓蕾,许启霞,庞颖颖,等.静脉血栓栓塞症患者临床特征:10年177例病例分析[J].中华危重病急救医学,2019,31(4):453-457.
[20] 赵得银,于智勇,张艮龙,等.经腘静脉与膝下静脉入路置管溶栓治疗急性下肢深静脉血栓的效果比较[J].山东医药,2020,60(5):84-87.

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更新日期/Last Update: 2021-11-05