下腔静脉滤器置入联合导管接触性溶栓治疗急性下肢深静脉血栓的临床分析

目的评价下腔静脉滤器置入联合导管接触性溶栓治疗急性下肢深静脉血栓(DVT)的临床疗效。方法回顾性分析2008年2月～2009年10月在本院介入科行下腔静脉滤器置入联合导管接触性溶栓(CDT)治疗的15例急性DVT患者资料。所有患者均在DSA监视下置入下腔静脉滤器,再行导管接触性溶栓,术中将溶栓导管头端插入静脉血栓内部,再经溶栓导管用微泵持续注入尿激酶溶栓。治疗前及末次随访时分别测量并计算出患侧与健侧大、小腿平均周径差,采用配对t检验进行统计分析。出院后继续随访了解患者病情变化。结果所有患者治疗后下肢肿胀均显著改善,治疗前及末次随访时患侧与健侧大、小腿平均周径差有显著差异(P<0.05)。治疗过程中及治疗后随访未出现严重并发症。结论下腔静脉滤器置入联合导管接触性溶栓治疗急性下肢DVT是一种安全有效的治疗方法。

Clinical analysis of the treatment of acute lower extremity deep venous thrombosis by using inferior vena cava filter placement and catheter directed thrombolysis

Objective To evaluate the clinical efficacy of inferior vena cava filter placement combined with the catheter directed thrombolysis for acute lower extremity deep vein thrombosis(DVT).Methods A retrospective analysis was made which was about 15 patients with acute DVT from February 2008 to October 2009 who were under the treatment of vena cava filter placement contact the United catheter thrombolysis(CDT) in our hospital treated patient information.All inferior vena cava filters were placed under surveillan...