| 韩新强,王柱,王文明,徐英江,盛玉国,马超,纪心刚,赵梦鹏.经胫前静脉途径多介入模式联合治疗下肢深静脉血栓[J].中国介入影像与治疗学,2017,14(9):530-533 |
| 经胫前静脉途径多介入模式联合治疗下肢深静脉血栓 |
| Multiple interventional models combined via anterior tibial veins in treatment of acute deep venous thrombosis |
| 投稿时间：2017-04-11 修订日期：2017-07-24 |
| DOI：10.13929/j.1672-8475.201704012 |
| 中文关键词: 静脉血栓形成 胫前静脉 介入治疗 血栓切除术 |
| 英文关键词:Venous thrombosis Anterior tibial vein Interventional therapy Thrombectomy |
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| 中文摘要: |
| 目的 探讨经胫前静脉途径多介入模式联合治疗急性下肢深静脉血栓（DVT）的疗效。方法 回顾性分析10例急性DVT患者临床及影像学资料，并复习相关文献，分析其介入治疗过程。结果 10例DVT患者均在临时性下腔静脉滤器保护下同期行机械血栓清除，7例血栓清除率达Ⅲ级，3例达Ⅱ级。7例行狭窄髂静脉成形治疗，5例同期行滤器取出，其余4例行二期行滤器取出，1例放弃滤器取出。术后患肢肿胀明显缓解，无手术相关并发症发生。住院时间4~7天，平均（6.00±0.94）天。患者随访时间1~6个月，平均（3.60±1.84）个月，随访期内无病变血管管腔血栓复发。结论 经胫前静脉途径治疗急性DVT操作简便、安全、有效，联合机械血栓清除装置可快速减轻血栓负荷，同期予以狭窄血管球囊或支架成形术可巩固治疗效果，缩短总治疗时间。 |
| 英文摘要: |
| Objective To explore the efficacy of multiple interventional models combined through anterior tibial veins approach in treatment of acute deep venous thrombosis (DVT).Methods The clinical data and the imaging materials of 10 patients with acute DVT were analyzed retrospectively, and the interventional treatment strategies were discussed.Results The percutaneous mechanical thrombectomy (PMT) was performed after a temporary inferior vena cava filter implanted in all patients, and thrombus clearance rate of grade Ⅲ was obtained in 7 patients while 3 patients reached grade Ⅱ criteria. There were 7 patients underwent angioplasty, then the inferior vena cava filter was retrieved during the same procedure in 5 patients while 4 patients in the second stage and 1 patient rejected to retrieve the filter. All swelling limbs alleviated significantly after those procedures. There was no critical complications occured. The total hospital stay ranged from 4 to 7 days, with a mean time of (6.00±0.94) days. All patients were followed up with a mean time of (3.60±1.84) months (ranged from 1 to 6 months). No thrombus recurrences of the previously affected vessels were reported.Conclusion The multiple interventional models combined via anterior tibial veins for acute DVT is simple, safe and effective, combined with mechanical thrombectomy device can reduce thrombus burden quickly, and combined with angioplasty can consolidate the therapeutic effect, all those methods combined can shorten the overall hospitalization time. |
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