介入溶栓治疗下肢深静脉血栓形成疗效分析

目的探讨介入溶栓治疗下肢深静脉血栓形成（DVT）的疗效。方法回顾性分析2009年3月至2011年3月入住我科的67例DVT患者的临床资料，均经股静脉穿刺置入溶栓导管行介入溶栓，同时予抗凝、活血、祛聚治疗，其中24例溶栓前行下腔静脉滤器植入。患者出院后均口服华法林继续抗凝治疗。结果67例患者中，显效58例（86．6％），有效9例（13．4％）。临床治愈时间10～25d，平均（18±8）d，均未发生严重并发症。61例患者获得随访，随访时间为1～20个月，随访率为92．0％（61／67）。结论DVT患者应及早诊断，治疗时间越早，效果越好，及时应用介入溶栓联合抗凝、活血等治疗是提高疗效和预防DVT后遗症的有效方法。

Effect of interventional thrombolysis on deep venous thrombosis

Objective To study the effect of interventional thrombolytic on deep venous thrombosis （I）VT）. Methods All 67 cases of DVT were retrospectively analyzed from March 2009 to March 2011. Catheter was inserted through the femoral vein to implement interventional thrombolysis; meanwhile rendering anticoagula- tion, blood circulation and remove poly treatment were given. Twenty-four cases were implanted inferior vena cava filter before thrombolytic. All patients were required to continue oral warfarin to anticoagulant therapy. Results A- mong 67 cases, the basic cure cases were 58, accounting for 86.6% ; effective cases were 9, accounting for 13.4% ; no valid cases were observed. Clinical cure time was 10-25 d with an average of （18± 8）d; no serious complications were observed. Sixty-one patients were followed up for 1 month to 20 months; follow-up rate was 92.0% （61/67）. Conclusion The patients with DVT should be strived to achieve early diagnosis and treatment; timely application of intervention thrombolytic therapy combined with anticoagulation, blood circulation and other treatment can prevent DVT sequelae.