| 床旁彩色多普勒超声引导腘静脉置管溶栓疗法在下肢深静脉血栓治疗中的应用 |
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| 引用本文： | 安鹏,尹家保,杨浩,周素芬,叶颖剑,宋娟.床旁彩色多普勒超声引导腘静脉置管溶栓疗法在下肢深静脉血栓治疗中的应用[J].中国介入影像与治疗学,2018,15(3):144-147. |
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| 作者姓名： | 安鹏 尹家保 杨浩 周素芬 叶颖剑 宋娟 |
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| 作者单位： | 湖北医药学院附属襄阳市第一人民医院超声影像科, 湖北 襄阳 441000,湖北医药学院附属襄阳市第一人民医院超声影像科, 湖北 襄阳 441000,湖北医药学院附属襄阳市第一人民医院超声影像科, 湖北 襄阳 441000,湖北医药学院附属襄阳市第一人民医院超声影像科, 湖北 襄阳 441000,湖北医药学院附属襄阳市第一人民医院超声影像科, 湖北 襄阳 441000,湖北医药学院附属襄阳市第一人民医院超声影像科, 湖北 襄阳 441000 |
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| 基金项目： | 湖北省襄阳市科技基金项目（2013-69-5）。 |
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| 摘 要： | 目的探讨床旁彩色多普勒超声引导置管溶栓法治疗下肢深静脉血栓(LEDVT)的可行性、有效性。方法回顾性分析25例接受床旁彩色多普勒超声引导腘静脉置管溶栓(超声置管溶栓组)及25例接受全身抗凝溶栓(全身抗凝溶栓组)的单侧LEDVT患者的资料。对比观察2组临床治愈率、住院时间及双侧肢体周径差。结果 2组患者溶栓有效率均为100%,超声置管溶栓组中22例、全身抗凝溶栓组中8例达到临床治愈(通畅率66%~100%),2组临床治愈率88.00%(22/25)vs 32.00%(8/25)]差异有统计学意义(χ~2=16.333,P0.001)。超声置管溶栓组患者住院时间(12.32±1.49)天]短于全身抗凝溶栓组(16.44±2.95)天;t=-6.426,P0.001]。治疗前2组间膝上及膝下15cm双侧肢体周径差的差异均无统计学意义(P均0.05),治疗后超声置管溶栓组小于全身抗凝溶栓组(P均0.05)。2组患者治疗后双侧肢体周径差均较治疗前明显减小(P均0.05)。结论床旁彩色多普勒超声引导腘静脉置管溶栓及全身抗凝溶栓治疗LEDVT均疗效确切,且超声置管溶栓优于全身抗凝溶栓。
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| 关 键 词： | 超声检查 多普勒 彩色 静脉血栓形成 腔静脉滤器 抗凝溶栓 |
| 收稿时间： | 2017/5/30 0:00:00 |
| 修稿时间： | 2017/12/8 0:00:00 |
Application of bedside color Doppler ultrasound-guided popliteal vein catheter thrombolytic therapy in treatment of lower extremity deep venous thrombosis |
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| AN Peng,YIN Jiabao,YANG Hao,ZHOU Sufen,YE Yingjian and SONG Juan.Application of bedside color Doppler ultrasound-guided popliteal vein catheter thrombolytic therapy in treatment of lower extremity deep venous thrombosis[J].Chinese Journal of Interventional Imaging and Therapy,2018,15(3):144-147. |
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| Authors: | AN Peng YIN Jiabao YANG Hao ZHOU Sufen YE Yingjian and SONG Juan |
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| Institution: | Department of Ultrasound, Xiangyang No. 1 People''s Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China,Department of Ultrasound, Xiangyang No. 1 People''s Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China,Department of Ultrasound, Xiangyang No. 1 People''s Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China,Department of Ultrasound, Xiangyang No. 1 People''s Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China,Department of Ultrasound, Xiangyang No. 1 People''s Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China and Department of Ultrasound, Xiangyang No. 1 People''s Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China |
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| Abstract: | |
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| Keywords: | Ultrasonography Doppler color Venous thrombosis Vena cava filter Anticoagulation and thrombolysis |
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