中西医结合治疗下肢深静脉血栓形成 徐兴闻 狄海庭 史健 朱军.docVIP

精品论文 参考文献 中西医结合治疗下肢深静脉血栓形成 徐兴闻 狄海庭 史健 朱军 徐兴闻 狄海庭 史健 朱军（江苏省溧阳市中医院放射科 江苏溧阳 213300） 【中图分类号】R543.6【文献标识码】A【文章编号】1672-5085（2011）40-0007-03 【摘要】目的 探讨中西医结合介入治疗下肢深静脉血栓形成的临床应用价值。方法 收集有明确临床症状.体征,并经血管造影证实的下肢深静脉血栓形成患者15例,施行介入插管，双通道溶栓,并联合应用中西药内服外敷。15例全部置入下腔静脉滤器。结果 治疗后显效9例(60%),有效6例(40%),无效0例。1月后复查,显效12例(80%),有效3例(20%)。未出现严重并发症，5年随访无1例复发。结论 中西医结合介入治疗方法对下肢深静脉血栓形成有较好治疗效果,结合中医辨证论治综合治疗,可以明显增强疗效降低复发率。 【关键词】深静脉血栓形成 中西医结合 介入放射学 The clinical application of integrating traditional and western medicine therapy for lower limb deep venous thrombosis. 【Abstract】 Objective To explore the clinical effect of comprehensive interventional therapy for lower limb deep venous thrombosis．Methods All of the 15 patients had definite symptoms and clinical signs and the lower extremity deep venous thrombosis was confirmed by angiography. Catheter-directed thrombolytic therapy and the placement of inferior vena cava filter with chinese medicine therapy was employed in all the patients. Results During the follow-up period，no serious complications occurred．After treatment, 9 patients (60%) were apparently valid, 6 patients (60%)valid; none patients invalid. No recurrence was found during the 5 years follow-up. Conclusion Integrating traditional and western medicine therapy is an effective technique for the treatment of lower limb deep venous thrombosis. With the combination of treatment according to syndrome differentiation could improve the efficacy and reduce recurrence of deep venous thrombosis. 【Key words】deep venous thrombosis integrating traditional and western medicine interventional therapy 下肢深静脉血栓形成(deepveinthrombosis,DVT)是一种临床常见病,它不但能够引起下肢的淤血肿胀.活动不便，严重者出现肢体坏疽,其最严重的并发症为致死性肺栓塞。作者采用以介入为主的中西医结合疗法治疗一组DVT病例,取得了较好的疗效,现报告如下： 1 资料与方法 1.1一般资料：本组共收集病例15例,其中男9例,女6例;年龄27-82岁,平均56岁，全部患者患肢皆为左下肢，临床以左下肢不同程度的肿胀最为明显，其中1例患肢肿胀明显并伴张力性水泡。皮肤颜色呈暗紫色,皮温略增高。患者自觉左下肢坠胀.疼痛，活动受限。6例起病于手术后,2例发病于分娩后,其余患者无明显诱发因素。病程为2-30d。彩色多普勒超声及顺行性静脉造影检查提示3例左侧髂股静脉完全性血栓形成，12例患者左下肢深静脉广泛性血栓形成，入院后根据中医辨证予以中药汤剂