下肢深静脉血栓的介入治疗_张希全.pdfVIP

中国介入影像与治疗学 2009 年第 6 卷第 3 期 Ch in J Interv Imaging Th er, 2009, Vol 6, No 3 # 233 # Interventional therapy for deep venous thrombosis of lower limb ZH A N G X i-quan 1 * , LI N G Bao-cun2 , ZH U Wei 1 , D ON G Ge 1 , Y UA N Lei 1 (1. Center of I nterventional Card iology , 2. D ep artment of General Surgery , PL A 148th H osp ital , Zibo 255300, China) [Abstract] Objective T o observe the effect of intervent ional t herapy on low er ex tremity deep venous thrombosis ( L ED- V T )1 Methods T w o hundred and thirt y- seven patients w ith L EDV T were included in the study1 Permanent and temporary inferio r v ena cav a filter w ere performed in 102, 11 patients, respectively1 T hrombolysis by indw elling catheter w as initially involved in 151 patients and o ther 86 subjects receiv ed the treatment on the basis of thrombosis crashing and abso rbing1 PT A w ith or w ithout stenting was perfo rmed on 26 and 37 pat ients, respectively1 Results Effectiv e rate of interventional therapy w as 971 89%1 Conclusion Combining w ith thrombolysis by indwelling catheter, thrombosis crashing and abso rb- ing or PT A, percutaneous transluminal interventio nal therapy show s fav orable ef fect fo r L EDV T1 [Key words] V eno us thrombosis; Inferior cav al filter; Interv entional therapy 下肢深静脉血栓的介入治疗 张希全1 * , 凌宝存2 , 朱 伟1 , 董 戈1, 袁 磊1 ( 1. 解放军 148 医 院介入心内科, 2. 普外科, 山东 淄博 255300) [ 摘 要] 目的 探讨下肢深静脉血栓( L EDV T ) 介入治疗 的效果。方 法 237 例 L ED VT 患者 接受下 肢静脉 造影和 介 入性治疗, 其中 102 例植入永久下腔静脉滤器( IV CF ) , 11 例植入 临时 IVCF ; 151 例 血管内留 置导管 溶栓; 86 例 导管血 栓 碎吸基础上导管溶栓; 26 例 股、髂静脉单纯 P T A , 37 例并支架植入。结果 介入治疗有效率 971 89% , 肺栓塞(