| 超声成像在急性下肢深静脉血栓机械性清除治疗中应用价值 |
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| 引用本文： | 安丽,刘丽文,拓胜军,陈江浩,王辉,陈曦. 超声成像在急性下肢深静脉血栓机械性清除治疗中应用价值[J]. 临床超声医学杂志, 2024, 26(1) |
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| 作者姓名： | 安丽 刘丽文 拓胜军 陈江浩 王辉 陈曦 |
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| 作者单位： | 空军军医大学第一附属医院超声医学科,空军军医大学第一附属医院超声医学科,空军军医大学第一附属医院超声医学科,空军军医大学第一附属医院血管外科,空军军医大学第一附属医院血管外科,空军军医大学第一附属医院超声医学科 |
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| 基金项目： | 国家自然科学基金项目（面上项目,重点项目,重大项目） |
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| 摘 要： | 目的 探讨超声在急性下肢深静脉血栓(DVT)机械性血栓清除(PMT)治疗中应用的有效性和安全性。方法 132例急性期DVT患者置入滤器后分为82例超声组和50例造影组进行PMT及导管溶栓治疗,术后评估并比较两组静脉通畅情况、患肢周径差、血生化指标、手术时间、并发症及疗效随访。结果 超声组、造影组术后静脉通畅率较高,分别为82%、77.7%,术后两组静脉通畅情况组间对比差异均无统计学意义( P均＞0.05) 。平均手术时间超声组(1.08±0.32h)少于造影组(2.36±0.25h)(P=0.000)。并发症发生率超声组(12.2%)低于造影组(26%)(P=0.016)。术后血红蛋白含量超声组(125.66±15.48g/L)高于造影组(91.53±11.73g/L)(P=0.004)。两组术后患肢周径差、D-二聚体浓度、Villalta评分及VEINES-QOL评分组间对比差异均无统计学意义( P均＞0.05)。 结论 超声监测对急性DVT行PMT治疗安全有效,与传统静脉造影模式相比具有无辐射、手术时间短及并发症低的优点。
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| 关 键 词： | 超声成像/监测评估 下肢深静脉血栓/治疗 机械性血栓清除/方法 导管溶栓/方法 |
| 收稿时间： | 2023-06-28 |
| 修稿时间： | 2023-12-02 |
The Clinical Application of Percutaneous Mechanical Thrombectomy in theTreatment of Acute in Lower Extremity Deep Venous Thrombosis under |
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| AN Li,LIU Li-wen,TA Sheng-jun,Chen Jiang-hao,Wang Hui and Chen Xi. The Clinical Application of Percutaneous Mechanical Thrombectomy in theTreatment of Acute in Lower Extremity Deep Venous Thrombosis under[J]. Journal of Ultrasound in Clinical Medicine, 2024, 26(1) |
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| Authors: | AN Li LIU Li-wen TA Sheng-jun Chen Jiang-hao Wang Hui Chen Xi |
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| Affiliation: | the first affiliated hospital of the air force medical university,,,,,the first affiliated hospital of the air force medical university |
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| Abstract: | Objective To evaluate the efficacy and safety of ultrasound in percutaneous mechanical thrombectomy (PMT)of acute deep venous thrombosis of lower extremity(DVT). Methods 132 patients with acute DVT were divided into two groups: 82 cases in ultrasound group and 50 cases in venography group. Venous Patency, limb circumference difference, blood biochemical indicators, operation time, complications and follow-up were evaluated and compared between two groups after PMT combined with catheter-directed thrombolysis treatment. Results The venous patency rates of ultrasound group and venography group were 82% and 77.7%, respectively. There were no significant difference between two groups in venous patency after PMT treatment (All P＞0.05). Operation time in ultrasound group(1.08±0.32h) was less than that in venography group(2.36±0.25h)(P=0.000).The incidence of complications in ultrasound group (12.2%) was lower than that in venography group (26%)(P=0.016). The content of Hemoglobin in ultrasound group(125.66±15.48g/L) was higher than that in venography group (91.53±11.73g/L)(P=0.004). There were no significant differences in limb circumference difference, d-dimer concentration, Villalta score and VEINES-QOL score after operation (All P＞0.05) . Conclusion Ultrasound is safe and effective in PMT treatment of acute DVT. Compared with the traditional venography mode, it has the advantages of no radiation, short operation time and low complications. |
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| Keywords: | Ultrasonic imaging/Monitoring, evaluation Deep venous thrombosis of lower extremity/Treatment Percutaneous mechanical thrombectomy/Method Catheter thrombolysis/Method |
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