下肢深静脉血栓形成的介入综合治疗(附32例分析)

目的　探讨下肢深静脉即髂 -股静脉血栓形成介入综合治疗的临床应用及价值。方法　对确诊为下肢深静脉血栓形成的 3 2例病人 ,首先经健侧股静脉途径在下腔静脉内放置滤器 ,然后将导管从健侧或 /和患侧入路插至病变处 ,进行持续溶栓、取栓 ,必要时行球囊扩张血管成形治疗。结果　全部病例的介入综合治疗均一次性成功 ,成功率 10 0 %。术后下肢静脉开通 ,患肢肿胀及疼痛逐渐消失 ,肢体松软 ,活动恢复正常。术中、术后无严重并发症发生。经随访 (最长达 3 0个月 )亦无复发及远期并发症发生。结论　综合性介入治疗法对下肢静脉血栓形成具有较理想的效果

Clinical Study on the Interventional and Comprehensive Treatment of Iliofemoral Venous Thrombus

Objective To explore the clinical value of the interventional and comprehensive treatment of iliac-femoral venous thrombus(I-FVT).Methods 32 patients with I-FVT were underwent interventional therapy.First the filter was implanted into the inferior vena caval via opposite side of femoral vein,then the catheteres were implanted into the pathologic regions within the vena to process the emboluses,and balloon-directed extend when necessary.Results The procedure of treatment was successful in all patients.The iliac-femoral veins were patent,swollen and pain symptom of lower limb disappeared gradually after operation.The followed-up study the longest period for 30 months showed no severe complications and recurrence.Conclusion The interventional and comprehensive therapy is of ideal effect on treating I-FVT,occuring interventional and comprehensive treatment has ideally effect to cure the patients with I-FVT.