[1]利 峰,杨孔武,穆茂媛,等.介入综合治疗Cockett综合征伴急性左下肢深静脉血栓形成 [J].介入放射学杂志,2021,30(02):181-185.
 LI Feng,YANG Kongwu,MU Maoyuan,et al.Comprehensive interventional treatment for Cockett syndrome associated with acute deep venous thrombosis of left lower limb[J].journal interventional radiology,2021,30(02):181-185.
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介入综合治疗Cockett综合征伴急性左下肢深静脉血栓形成



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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年02
页码:
181-185
栏目:
临床研究
出版日期:
2021-02-25

文章信息/Info

Title:
Comprehensive interventional treatment for Cockett syndrome associated with acute deep venous thrombosis of left lower limb
作者:
利 峰 杨孔武 穆茂媛 石荣书
Author(s):
LI Feng YANG Kongwu MU Maoyuan SHI Rongshu.
Department of Interventional Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou Province 563003, China
关键词:
【关键词】 Cockett综合征 手动抽吸血栓清除 介入综合治疗 下肢深静脉血栓形成
文献标志码:
A
摘要:
【摘要】 目的 探讨介入综合治疗Cockett综合征伴急性左下肢深静脉血栓形成(DVT)的安全性和临床效果。 方法 回顾性分析2017年1月至2020年1月遵义医科大学附属医院收治的70例Cockett综合征伴左下肢DVT患者临床资料。所有患者均接受临时性下腔静脉滤器置入及导管接触溶栓(CDT)、手动抽吸血栓清除(MAT)、球囊扩张术,部分患者接受支架植入。观察记录术中失血量、血栓清除率、住院时间、手术相关并发症、患肢周径差及髂静脉远期通畅率。 结果 70例患者均成功置入滤器并回收。单纯球囊扩张重建髂静脉48例,球囊扩张联合髂静脉支架植入22例。所有患者血栓清除均获临床成功(血栓清除达Ⅱ级以上)。术中平均失血量(165.2±9.5) mL,平均住院时间(8.4±1.4) d。术后出现血尿1例,穿刺处血肿3例,无症状性肺栓塞和死亡患者。术后患肢周径差与术前相比显著减小[(4.21±2.45) cm对(8.11±2.02) cm,P<0.05]。所有患者均获随访,平均13(6~36)个月,单纯球囊扩张组、球囊扩张联合支架植入组分别发生血栓形成后综合征(PTS) 8例(16.7%)、1例(4.5%)(P=0.153),闭塞/狭窄3例(6.3%)、1例(4.5%)(P=0.627),两组间差异均无统计学意义,无死亡患者。结论 介入综合治疗Cockett综合征伴急性左下肢DVT患者微创安全,疗效满意,可推广应用。

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相似文献/References:

[1]赵国瑞,任建庄,段旭华,等.腔内介入治疗Cockett综合征伴左下肢深静脉血栓形成 [J].介入放射学杂志,2017,(06):522.
 ZHAO Guorui,REN Jianzhuang,DUAN Xuhua,et al.Endovascular interventional therapy for Cockett syndrome associated with deep vein thrombosis of left lower extremity [J].journal interventional radiology,2017,(02):522.

备注/Memo

备注/Memo:
(收稿日期:2020-05-20)
(本文编辑:边 佶)
更新日期/Last Update: 2021-02-22