介入治疗５７６例下肢深静脉血栓形成

目的:评价介入治疗下肢深静脉血栓形成的临床疗效。方法:576例下肢深静脉血栓形成患者行介入溶栓术,对其中226例作下腔静脉滤器置入术、59例作经导管血栓抽吸术、119例作机械性血栓消融术、92例作髂股静脉腔内成形术、71例作髂静脉及股总静脉支架植入术。根据病程、症状及造影表现,每例选择2～6种介入治疗方法。随访6个月～3年。结果:治疗疗效为:优170例(29.5%),良269例(46.7%),中126例(21.9%),差11例(1.9%)。平均住院天数为9.5天。89例取得6个月随访资料,其疗效判断为优34例(38.2%),良45例(50.6%),中4例(4.5%),差6例(6.7%)。结论:介入治疗下肢深静脉血栓疗效较好,可缩短病程。

Interventional treatment for lower extremity deep venous thrombosis

Objective:To evaluate the clinical effects of interventional treatment for lower extremity deep venous thrombosis (LEDVT). Methods:In 576 cases of LEDVT, 226 cases were implanted with inferior vena cava filters, and the thrombosis of 59 cases were aspirated by catheters. The mechanical thrombectomy devices were used to manage acute LEDVT in 119 cases. PTA was performed in 92 cases and stents were placed into iliac veins in 71 cases. Two to six methods were selected for each case depending on the history, symptom and angiography. The patients were followed up for 6 to 36 months. Results: Out of 576 cases, 170 cases presented with excellent efficacy, 269 cases with good efficacy, 126 cases with mild efficacy and 11 cases with no change. Mean hospital stays was 9.5 days. 89 cases had 6 months follow-up data including 34 excellent(38.2%), 45 good(50.6%), 4 mild(4.5%), and 6 no changes (6.7%). Conclusion: Interventional treatment of LEDVT is effective, it can shorten the course of LEDVT.