腔静脉滤器联合置管溶栓治疗急性下肢深静脉血栓效果
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摘要
目的:探讨腔静脉滤器联合置管溶栓治疗急性下肢深静脉血栓。方法:研究人员随机抽取2016年3月-2018年2月来院就诊的120例急性下肢深静脉血栓患者,所有的患者均为自愿参与且符合纳入标准,采用随机系统将患者均分为对照组与观察组,对照组患者接受外周抗凝溶栓治疗,观察组患者接受腔静脉滤器联合置管溶栓治疗,根据患者的大腿及小腿消肿率、大腿及小腿周径差、介入治疗效果评估本次研究的临床效果。结果:治疗后,观察组患者的大腿及小腿周径差均小于对照组,且观察组患者的大腿及小腿消肿率均高于对照组,观察组患者的溶栓持续时间及住院时长均短于对照组,差异均有统计学意义(P<0.05)。结论:急性下肢深静脉血栓患者接受腔静脉滤器联合置管溶栓治疗效果显著。
Objective:To investigate the effect of vena cava filter combined with catheter thrombolysis on acute deep venous thrombosis of lower extremity.Method:120 patients with acute deep venous thrombosis of lower extremity who came to our hospital from March 2016 to February 2018 were randomly selected.All patients were voluntary participants and met the criteria of admission and did not meet the exclusion criteria.The patients were randomly divided into the control group and the observation group.The patients in the control group were treated with peripheral anticoagulant thrombolytic therapy,and the patients in the observation group were treated with vena cava filter combined with catheter thrombolysis.The clinical effect of this study was evaluated according to the patient's thigh and calf detumescence rate,the difference of thigh and calf circumference,and the effect of interventional therapy.Result:The difference of thigh and calf circumference in the observation group were smaller than those in the control group,and the rate of thigh and calf detumescence in the observation group were higher than those in the control group.The duration of thrombolysis and length of hospitalization in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The treatment of acute deep venous thrombosis of lower extremity with vena cava filter combined with catheter thrombolysis is effective.
Objective:To investigate the effect of vena cava filter combined with catheter thrombolysis on acute deep venous thrombosis of lower extremity.Method:120 patients with acute deep venous thrombosis of lower extremity who came to our hospital from March 2016 to February 2018 were randomly selected.All patients were voluntary participants and met the criteria of admission and did not meet the exclusion criteria.The patients were randomly divided into the control group and the observation group.The patients in the control group were treated with peripheral anticoagulant thrombolytic therapy,and the patients in the observation group were treated with vena cava filter combined with catheter thrombolysis.The clinical effect of this study was evaluated according to the patient's thigh and calf detumescence rate,the difference of thigh and calf circumference,and the effect of interventional therapy.Result:The difference of thigh and calf circumference in the observation group were smaller than those in the control group,and the rate of thigh and calf detumescence in the observation group were higher than those in the control group.The duration of thrombolysis and length of hospitalization in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The treatment of acute deep venous thrombosis of lower extremity with vena cava filter combined with catheter thrombolysis is effective.
引文
[1]聂中林,高涌,孙勇.腔静脉滤器置入联合胫后静脉置管溶栓治疗急性下肢深静脉血栓形成[J].解剖与临床,2013,18(3):223-227.
[2]印于,金泳海,樊宝瑞,等.机械性血栓清除术联合同期髂静脉支架植入治疗合并左髂静脉受压综合征的急性下肢深静脉血栓形成[J/OL].中华介入放射学电子杂志,2018,6(1):46-50.
[3]蒋鹏,李金勇,程志远,等.机械性血栓清除术结合导管溶栓治疗骨折合并急性下肢深静脉血栓形成效果观察[J].山东医药,2018,58(16):81-83.
[4]杨艳,翁国勤.髂静脉压迫综合征并发急性下肢深静脉血栓形成患者行腔内治疗的舒适护理[J].浙江医学,2017,39(24):2307-2309.
[5]朱军,戴真煜,姚立正,等.AngioJet药物机械偶联血栓清除降低急性下肢深静脉血栓患者下腔静脉滤器置入的可行性研究[J].实用医学影像杂志,2017,18(3):191-193.
[6]樊宝瑞,金泳海,段鹏飞,等.同期血栓机械清除联合髂静脉支架植入治疗急性下肢深静脉血栓形成12例[J].介入放射学杂志,2017,26(1):60-64.
[7]艾文佳,林少芒,张智辉,等.Angiojet清栓联合髂静脉腔内成形一期治疗急性下肢深静脉血栓合并髂静脉压迫综合征的疗效分析[J/OL].中国血管外科杂志:电子版,2017,9(4):258-261.
[8]方灿军,胡何节,潘力生.临时下腔静脉滤器防护下经小隐静脉置管溶栓与足背静脉溶栓在急性髂-股静脉血栓形成治疗中的疗效对比[J].中国现代医学杂志,2016,26(20):82-86.
[9]刘鹏,陈洁,叶志东,等.手术取栓联合腔内介入治疗Cockett综合征并发急性深静脉血栓的临床疗效分析[J/OL].中国血管外科杂志:电子版,2013,5(1):31-34.
[10]冯志东,李雁,代义壮,等.下腔静脉滤器植入、药物溶栓及取栓手术个体化治疗外科手术后下肢深静脉血栓形成[J].中国社区医师:医学专业,2015,14(30):75-77.
[11]肖亮,徐克,申景,等.Günther Tulip可回收式腔静脉滤器在急性下肢深静脉血栓形成介入治疗中的作用[J].介入放射学杂志,2015,19(9):707-711.
[12]胡勇钧,顾晔,胡立群,等.经皮血管腔内成形和支架置入术在急性下肢深静脉血栓形成中的临床应用[J].临床内科杂志,2017,24(7):477-479.
[2]印于,金泳海,樊宝瑞,等.机械性血栓清除术联合同期髂静脉支架植入治疗合并左髂静脉受压综合征的急性下肢深静脉血栓形成[J/OL].中华介入放射学电子杂志,2018,6(1):46-50.
[3]蒋鹏,李金勇,程志远,等.机械性血栓清除术结合导管溶栓治疗骨折合并急性下肢深静脉血栓形成效果观察[J].山东医药,2018,58(16):81-83.
[4]杨艳,翁国勤.髂静脉压迫综合征并发急性下肢深静脉血栓形成患者行腔内治疗的舒适护理[J].浙江医学,2017,39(24):2307-2309.
[5]朱军,戴真煜,姚立正,等.AngioJet药物机械偶联血栓清除降低急性下肢深静脉血栓患者下腔静脉滤器置入的可行性研究[J].实用医学影像杂志,2017,18(3):191-193.
[6]樊宝瑞,金泳海,段鹏飞,等.同期血栓机械清除联合髂静脉支架植入治疗急性下肢深静脉血栓形成12例[J].介入放射学杂志,2017,26(1):60-64.
[7]艾文佳,林少芒,张智辉,等.Angiojet清栓联合髂静脉腔内成形一期治疗急性下肢深静脉血栓合并髂静脉压迫综合征的疗效分析[J/OL].中国血管外科杂志:电子版,2017,9(4):258-261.
[8]方灿军,胡何节,潘力生.临时下腔静脉滤器防护下经小隐静脉置管溶栓与足背静脉溶栓在急性髂-股静脉血栓形成治疗中的疗效对比[J].中国现代医学杂志,2016,26(20):82-86.
[9]刘鹏,陈洁,叶志东,等.手术取栓联合腔内介入治疗Cockett综合征并发急性深静脉血栓的临床疗效分析[J/OL].中国血管外科杂志:电子版,2013,5(1):31-34.
[10]冯志东,李雁,代义壮,等.下腔静脉滤器植入、药物溶栓及取栓手术个体化治疗外科手术后下肢深静脉血栓形成[J].中国社区医师:医学专业,2015,14(30):75-77.
[11]肖亮,徐克,申景,等.Günther Tulip可回收式腔静脉滤器在急性下肢深静脉血栓形成介入治疗中的作用[J].介入放射学杂志,2015,19(9):707-711.
[12]胡勇钧,顾晔,胡立群,等.经皮血管腔内成形和支架置入术在急性下肢深静脉血栓形成中的临床应用[J].临床内科杂志,2017,24(7):477-479.