介入治疗下肢深静脉血栓临床研究

目的探讨介入治疗下肢深静脉血栓形成的临床应用价值。方法88例下肢深静脉血栓患者行介入治疗,其中12例经患肢大隐静脉,32例经患肢足背静脉微泵加压推注尿激酶顺行溶栓,44例行介入置管溶栓术,13例置管溶栓后患者行球囊扩张术,共有50例患者行下腔静脉滤器置入术。以健患肢周径差、静脉通畅评分和静脉通畅率为评价指标,治疗随访1年。结果88例患者临床症状改善明显,总体有效率93.2%,溶栓前、后的健患侧大腿周径及小腿周径差均有显著性差异（P〈0.01）,治疗前后静脉通畅评分有显著性差异（P〈0.01）,静脉通畅率52.1%±15.9%,无严重并发症。随访1年,静脉通畅评分有显著性差异（P〈0.01）。结论介入治疗下肢深静脉血栓,是一种疗效良好而且安全的治疗方法。

Clinical research of lower limb deep venous thrombosis by Interventional therapy

Objective To evaluate the clinical effectiveness of Interventional treatments for treating lower limb deep venous thrombosis. Methods 88 patients with lower limb deep venous thrombosis were treated by Intervention,of which 12 patients were treated by antegrade puncture the ipsilateral great saphenous vein with continuous infusion of urokinase,and 32 cases via trans-dorsalis pedis vein,other 44 patients were treated by catheter-directed thrombolysis,including13 patients were implanted with percutaneous trans...