[1]钱结胜,李征然,姜在波,等.经颈静脉导管血管内溶栓联合足背静脉溶栓治疗下肢深静脉血栓[J].介入放射学杂志,2009,(04):266.
　QIAN Jiesheng,LI Zhengran,JIANG Zaibo,et al.Trans－jugular catheter－directed thrombolysis combined with trans－dorsalis pedis vein thrombolysis for the treatment of deep venous thrombosis of the lower limbs[J].J Intervent Med,2009,(04):266.
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经颈静脉导管血管内溶栓联合足背静脉溶栓治疗下肢深静脉血栓()

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

卷:
期数:
2009年04期
页码:
266
栏目:
血管介入
出版日期:
2009-04-15

文章信息/Info

Title:
Trans－jugular catheter－directed thrombolysis combined with trans－dorsalis pedis vein thrombolysis for the treatment of deep venous thrombosis of the lower limbs
作者:
钱结胜; 李征然; 姜在波; 等
５１０６３０广州中山大学附属第三医院血管科
Author(s):
QIAN Jie－sheng; LI Zheng－ran; JIANG Zai－bo; ZHU Kang－shun; GUAN Shou－hai; ZHOU Bing; XU Chang－mou; HE Ke－ke; SHANG Hong．
Department of Vascular Intervention，the Third Affiliated Hospital，Sun Yat－Sen University，Guangzhou５１０６３０，China
关键词:
下肢深静脉血栓形成; 导管内溶栓; 颈静脉; 足背静脉
分类号:
R５４３.６
文献标志码:
A
摘要:
目的探讨经颈静脉途径血管内溶栓联合足背静脉溶栓，治疗下肢深静脉血栓的可行性与疗效。方法１８例下肢深静脉血栓患者（治疗组）采用经颈静脉穿刺后，置管造影并植入滤器，留置导管持续血管内溶栓同时联合足背静脉溶栓；而同期有１６例患者（对照组）仅行足背静脉溶栓。结果治疗组溶栓时间为（６．６±２．３）d，对照组为（８．２±１．４）d；所用尿激酶总量治疗组为（５５２±２２４）万u，对照组为（７００±１６６）万u。联合溶栓能显著减少溶栓时间与尿激酶用量（P＜０．０５）。治疗组溶栓前后大、小腿周径分别减小（４．６±２．１）cm、（４．０±２．１）cm，对照组分别为（３．２±１．７）cm、（２．７±１．５）cm，两组间差异有统计学意义（P＜０．０５）。治疗组完全溶通率为６６．７％，对照组完全溶通率为３１．３％，两组间差异有统计学意义（P＜０．０５）。治疗组４例患者在血栓完全溶通后从原穿刺处将滤器取出。结论经颈静脉途径导管内溶栓联合足背静脉溶栓治疗下肢深静脉血栓安全、效果好，完全溶通后可从原穿刺处回收滤器。

参考文献/References:

［１］李龙，李彦豪．导管接触性溶栓治疗急性下肢深静脉血栓［J］．临床放射学杂志，２００３，２２：８８６－８８８．
［２］Krupski WC ，Bass A，Dilley RB，et al．Propagation of deep venous thrombosis identified by duplex ultrasonography［J］．J Vasc Surg，１９９０，１２：４６７－４７５．
［３］Rhodes JM，Cho JS，Gloviczki P，et al．Throm

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备注/Memo

备注/Memo:
收稿日期：２００８－１１－０３
更新日期/Last Update: 2009-04-15