中国普通外科杂志2017，Vol.26Issue(6)：758-763,6.DOI:10.3978/j.issn.1005-6947.2017.06.014
DSA引导下胫后/胫前静脉穿刺置管碎栓/溶栓治疗急性下肢深静脉血栓形成
DSA-guided posterior/anterior tibial vein puncture and catheter-directed clot fragmentation/thrombolysis for acute lower extremity deep venous thrombosis
刘飒华 1肖占祥 1戚悠飞 1岳劼 1陈浩 1曾昭凡 1李振振1
作者信息
- 1. 海南省人民医院血管外科,海南海口570311
- 折叠
摘要
Abstract
Objective:To investigate the efficacy of DSA-guided posterior/anterior tibial vein puncture and catheter-directed clot fragmentation/thrombolysis for acute lower extremity deep venous thrombosis (DVT).Methods:From August 2012 to November 2016,87 patients with mixed type and central type acute lower extremity DVT underwent DSA-guided posterior/anterior tibial vein puncture and catheter-directed clot fragmentation/thrombolysis.Effectiveness evaluation was performed by comparison of the limb circumference differences before and after thrombolysis and observation of the angiographic evidence of deep venous patency after thrombolysis.Results:Of the 87 patients,successful puncture was performed in 80 cases (91.9％),of whom 68 cases underwent posterior tibial vein puncture and 12 cases underwent anterior tibial vein puncture;7 cases with failed puncture underwent catheterization by posterior tibial vein incision.Clot fragmentation combined with catheter-directed thrombolysis was performed in all patients after successful catheterization.Compared with findings before thrombolysis,the limb circumference difference was significantly reduced [(4.28±1.02) cm vs.(1.06±0.42) cm] and venous patency score was significantly decreased [(10.25± 1.84) vs.(1.92±0.5)],and all differences had statistical significance (all P＜0.05).Conclusion:DSA-guided posterior/anterior tibial vein puncture and catheter-directed clot fragmentation/ thrombolysis is a simple and effective method for treatment of acute lower extremity DVT.关键词
静脉血栓形成/下肢/机械溶栓/血管内操作Key words
Venous Thrombosis/Lower Extremity/Mechanical Thrombolysis/Endovascular Procedures分类
医药卫生引用本文复制引用
刘飒华,肖占祥,戚悠飞,岳劼,陈浩,曾昭凡,李振振..DSA引导下胫后/胫前静脉穿刺置管碎栓/溶栓治疗急性下肢深静脉血栓形成[J].中国普通外科杂志,2017,26(6):758-763,6.
