[1]中国静脉介入联盟、湖南省护理学会放射介入专业委员会.小腿肌肉静脉血栓形成规范化诊疗与护理中国专家共识[J].介入放射学杂志,2026,(03):249-258.[doi:10.3969/j.issn.1008-794X.2026.03.003 ]
 Chinese Venous Interventional Alliance,Radiology Intervention Professional Committee of Hunan Nursing Association.Chinese expert consensus on the standardized diagnosis,treatment and nursing care for calf muscle venous thrombosis[J].J Intervent Med,2026,(03):249-258.[doi:10.3969/j.issn.1008-794X.2026.03.003 ]
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小腿肌肉静脉血栓形成规范化诊疗与护理中国专家共识()

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

卷:
期数:
2026年03
页码:
249-258
栏目:
指南与共识
出版日期:
2026-03-25

文章信息/Info

Title:
Chinese expert consensus on the standardized diagnosis,treatment and nursing care for calf muscle venous thrombosis
文章编号:
1008-794X(2026)-003-0249-10
作者:
中国静脉介入联盟、湖南省护理学会放射介入专业委员会
Author(s):
Chinese Venous Interventional Alliance; Radiology Intervention Professional Committee of Hunan Nursing Association
关键词:
小腿肌肉静脉血栓形成 小腿肌间静脉血栓形成 诊断 治疗 护理 专家共识
分类号:
R543.6
DOI:
10.3969/j.issn.1008-794X.2026.03.003
文献标志码:
A
摘要:
小腿肌肉静脉血栓形成(calf muscle venous thrombosis,CMVT)是深静脉血栓形成的特殊亚型,虽其血栓负荷及急性肺栓塞(pulmonary embolism,PE)风险相对较低,但仍存在血栓蔓延进展、诱发PE及导致血栓后综合征等严重不良结局的潜在风险。目前,临床关于CMVT的中文命名、风险评估体系、治疗策略及护理规范尚未达成统一共识,这在一定程度上制约了临床诊疗及护理质量的提升。为系统规范CMVT的诊疗与护理实践,该共识整合国内外最新循证医学证据及多中心临床实践经验,全面梳理CMVT的流行病学特征、危险因素、诊断流程、治疗策略及护理干预措施。经德尔菲法专家函询、专家会议论证及外审等规范流程后,最终形成共识,旨在为临床医护人员提供科学、规范且可操作的CMVT诊疗护理实践指导。

参考文献/References:

[1] Huang Z,Chen M,Sun H,et al.Comparative efficacy and safety of measures for the treatment of adults with isolated calf muscular vein thrombosis:a systematic review and network meta-analysis[J].Ann Vasc Surg,2024,98:282-292.
[2]刘长建,刘 昭.小腿肌肉静脉血栓的诊断与治疗[J].中国实用外科杂志,2015,35:1276-1279.
Liu CJ,Liu Z.Diagnosis and treatment of calf muscle venous thrombosis[J].Chin J Pract Surg,2015,35:1276-1279.
[3]Yoshimura N,Hori Y,Horii Y,et al.Where is the most common site of DVT? Evaluation by CT venography[J].Jpn J Radiol,2012,30:393-397.
[4]Ortel TL,Neumann I,Ageno W,et al.American Society of Hematology 2020 guidelines for management of venous thromboembolism:treatment of deep vein thrombosis and pulmonary embolism[J].Blood Adv,2020,4:4693-4738.
[5]Kakkos SK,Gohel M,Baekgaard N,et al.Editor's Choice-European Society for Vascular Surgery(ESVS)2021 clinical practice guidelines on the management of venous thrombosis[J].Eur J Vasc Endovasc,2021,61:9-82.
[6]《中国血栓性疾病防治指南》专家委员会.中国血栓性疾病防治指南[J].中华医学杂志,2018,98:2861-2888.
Expert Committee of Chinese Guidelines for Prevention and Treatment of Thrombotic Diseases.Chinese Guidelines for Prevention and Treatment of Thrombotic Diseases[J].Nat Med J China,2018,98:2861-2888.
[7]全国肺栓塞和深静脉血栓形成防治能力建设项目专家委员会,《医院内静脉血栓栓塞症防治质量评价与管理指南》编写专家组.医院内静脉血栓栓塞症防治质量评价与管理指南(2022版)[J].中华医学杂志,2022,102:3338-3348.
Expert Group of the National Expert Committee on Pulmonary Embolism and Deep Vein Thrombosis Prevention and Treatment Capacity Building Project.Guidelines for Quality Assessment and Management of Hospital-acquired Venous Thromboembolism Prevention and Treatment(2022 Edition)[J].Nat Med J China,2022,102:3338-3348.
[8]中华医学会外科学分会血管外科学组.深静脉血栓形成的诊断和治疗指南(第三版)[J].中华普通外科杂志,2017,32:807-812.
Vascular Surgery Group,Chinese Society of Surgery,Chinese Medical Association.Guidelines for the Diagnosis and Treatment of Deep Vein Thrombosis(3rd Edition)[J].Chin J Gen Surg,2017,32:807-812.
[9]陈 璐,徐 磊.小腿肌间静脉血栓形成与肺栓塞相关性研究进展[J].实用临床医药杂志,2023,27:141-148.
Chen L,Xu L.Progress in Research on the Correlation Between Calf Muscle Vein Thrombosis and Pulmonary Embolism[J].J Clin Med Prac,2023,27:141-148.
[10]中国微循环学会周围血管疾病专业委员会下肢静脉腔内治疗专业委员会.急性下肢深静脉血栓形成腔内治疗专家共识[J].血管与腔内血管外科杂志,2023,9:513-519.
Lower Extremity Venous Endovascular Therapy Committee of Peripheral Vascular Disease Committee,Chinese Microcirculation Society.Expert Consensus on Endovascular Treatment of Acute Lower Extremity Deep Vein Thrombosis[J].J Vasc Endovasc Surg,2023,9:513-519,M0002.
[11]Liu C,Qi C,Chen W,et al.Isolated calf muscle venous thrombosis:A review of anticoagulation strategies[J].Med Sci Monit,2024,30:e943955.
[12]Feng L,Xu L,Yuan W,et al.Preoperative anemia and total hospitalization time are the independent factors of preoperative deep venous thromboembolism in Chinese elderly undergoing hip surgery[J].BMC Anesthesiol,2020,20:72.
[13]陈孝平,汪建平,赵继宗.外科学(第9版)[M].北京:人民卫生出版社,2018.
Chen XP,Wang JP,Zhao JZ.Surgery(9th Edition)[M].Beijing:People's Medical Publishing House,2018.
[14]Schellong SM,Goldhaber SZ,Weitz JI,et al.Isolated distal deep vein thrombosis:Perspectives from the GARFIELD-VTE registry[J].Thromb Haemost,2019,119:1675-1685.
[15]Bai Y,Geng X,Jia Z,et al.Incidence,predictors,and clinical outcomes of thrombus propagation in patients with acute isolated calf muscle venous thrombosis[J].J Vasc Surg Venous Lymphat Disord,2025,13:102259.
[16]Kuczmik W,Wysokinski WE,Hesley GK,et al.Calf vein thrombosis comparison of outcomes for axial and muscular venous thrombosis[J].Thromb Haemostasis,2021,121:216-223.
[17]Palareti G,Legnani C,Antonucci E,et al.Management and outcomes of isolated distal deep vein thromboses:a questionable trend toward long-lasting anticoagulation treatment.results from the START-Register[J].TH Open,2021,5:e239-e250.
[18]Tauraginskii RA,Lurie F,Borde A,et al.Thigh muscle pump function during ambulation[J].J Vasc Surg-Venous L,2025,13:102248.
[19]李春民,张望德,任华亮.“肌间静脉”还是“肌肉静脉”——亟待厘清的概念[J].中华解剖与临床杂志,2021,26:120-121.
Li CM,Zhang WD,Ren HL.“Intramuscular vein” or “muscle vein”:a concept needing urgent clarification[J].Chin J Anat Clin,2021,26:120-121.
[20]Ünlü B,Versteeg HH.Effects of Tumor-expressed coagulation factors on cancer progression and venous thrombosis:Is there a key factor?[J].Thromb Res,2014,133:S76-S84.
[21]Heller T,Becher M,Kroger JC,et al.Isolated calf deep venous thrombosis:Frequency on venous ultrasound and clinical characteristics[J].BMC Emerg Med,2021,21:126.
[22]刘奇志,吴卫华,陈 洁,等.超声下不同部位下肢静脉血栓与肺栓塞发生的相关性分析[J].中国临床医学,2020,27:620-623.
Liu QZ,Wu WH,Chen J,et al.Correlation analysis between venous thrombosis at different sites of lower extremity and pulmonary embolism under ultrasound[J].Chin J Clin Med,2020,27:620-623.
[23]张 源,吉忠杰,张天华,等.小腿肌间静脉血栓危险因素及其临床防治的进展[J].中国医师进修杂志,2022,45:279-284.
Zhang Y,Ji ZJ,Zhang TH,et al.Progress in risk factors and clinical prevention and treatment of calf intramuscular venous thrombosis[J].Chin J Postgrad Med,2022,45:279-284.
[24]Jiang J,Xing F,Luo R,et al.The effect of calf muscular vein thrombosis on the prognosis within one year postoperatively of geriatric hip fracture patients:a propensity Score-matched analysis[J].BMC Geriatr,2024,24:1050.
[25]Caprini JA.Risk assessment as a guide for the prevention of the many faces of venous thromboembolism[J].Am J Surg,2010,199:S3-S10.
[26]Barbar S,Noventa F,Rossetto V,et al.A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism:The Padua Prediction Score[J].J Thromb Haemost,2010,8:2450-2457.
[27]Khorana AA,Kuderer NM,Culakova E,et al.Development and validation of a predictive model for Chemotherapy-associated thrombosis[J].Blood,2008,111:4902-4907.
[28]Greenfield LJ,Proctor MC,Rodriguez JL,et al.Posttrauma thromboembolism prophylaxis[J].J Trauma Acute Care,1997,42:100-103.
[29]Garcia R,Probeck K,Elitharp DM,et al.Diverse management of isolated calf deep venous thrombosis in a university hospital[J].J Vasc Surg-Venous L,2018,6:139-145.
[30]牛文强,李鲁滨,车海杰,等.小腿肌肉静脉血栓的诊疗进展[J].中国临床医生杂志,2022,50:411-413.
Niu WQ,Li LB,Che HJ,et al.Progress in diagnosis and treatment of calf muscle venous thrombosis[J].Chin J Clinicians,2022,50:411-413.
[31]马娜娜,岳金龙,张鹏飞,等.彩色多普勒超声在小腿肌间静脉血栓诊断及鉴别诊断中的价值[J].实用医技杂志,2020,27:439-441.
Ma NN,Yue JL,Zhang PF,et al.Value of color Doppler ultrasound in the diagnosis and differential diagnosis of calf intramuscular venous thrombosis[J].J Pract Med Tech,2020,27:439-441.
[32]Sato T,Yoshimura N,Horii Y,et al.Low tube voltage computed tomography venography for patients with deep vein thrombosis of the lower extremitiesL:a comparison With Venous Ultrasonography[J].Circ J,2021,85:369-376.
[33]邓 炜,王 丽,李耀国,等.间接法CT静脉造影和磁共振静脉造影在下肢深静脉血栓形成中的诊断价值[J].中华生物医学工程杂志,2016,22:54-57.
Deng W,Wang L,Li YG,et al.Diagnostic value of indirect CT venography and magnetic resonance venography in lower extremity deep vein thrombosis[J].Chin J Biomedical Engineering,2016,22:54-57.
[34]梁彗莉,陈 昕,杨 茹,等.小腿肌间静脉血栓伴肺栓塞1例[J].中国医学影像技术,2017,33:1640.
Liang HL,Chen X,Yang R,et al.Calf intramuscular venous thrombosis with pulmonary embolism:a case report[J].Chin J Med Imag Tech,2017,33:1640.
[35]杜 茜,蔡晨盛.彩色多普勒超声结合D-二聚体在偏瘫患者孤立性小腿肌间静脉血栓诊断中的价值[J].现代医用影像学,2023,32:2113-2116.
Du Q,Cai CS.Value of color Doppler ultrasound combined with D-dimer in diagnosis of isolated calf intramuscular venous thrombosis in hemiplegic patients[J].Modern Medical Imaging,2023,32:2113-2116.
[36]王 杨,王晓春,李俊杰,等.高频超声联合D-二聚体、纤维蛋白原对小腿肌间静脉丛血栓形成的诊断价值[J].血管与腔内血管外科杂志,2022,8:1494-1498.
Wang Y,Wang XC,Li JJ,et al.Diagnostic value of high-frequency ultrasound combined with D-dimer and fibrinogen for calf intramuscular venous plexus thrombosis[J].J Vasc Endovasc Surg,2022,8:1494-1498.
[37]张 媛.彩超联合D-二聚体对人工膝关节置换术后小腿肌间静脉血栓形成的诊断效能[J].现代医用影像学,2020,29:2139-2141.
Zhang Y.Diagnostic efficacy of color Doppler ultrasound combined with D-dimer for calf intramuscular venous thrombosis after artificial knee arthroplasty[J].Modern Medical Imaging,2020,29:2139-2141.
[38]Righini M,Galanaud JP,Guenneguez H,et al.Anticoagulant therapy for symptomatic calf deep vein thrombosis(CACTUS):A randomised,Double-blind,Placebo-controlled trial[J].Lancet Haematol,2016,3:e556-e562.
[39]周爱强,范修锦,邱 涛,等.小腿肌间静脉血栓诊治的争议与进展[J].中国血管外科杂志(电子版),2022,14:367-371,384.
Zhou AQ,Fan XJ,Qiu T,et al.Controversies and advances in diagnosis and treatment of calf intramuscular venous thrombosis[J].Chinese Journal of Vascular Surgery(Electronic Version),2022,14:367-371,384.
[40]Macdonald PS,Kahn SR,Miller N,et al.Short-term natural history of isolated gastrocnemius and soleal vein thrombosis[J].J Vasc Surg,2003,37:523-527.
[41]Kearon C,Akl EA,Ornelas J,et al.Antithrombotic therapy for VTE disease:CHEST guideline and expert panel report[J].Chest,2016,149:315-352.
[42]熊长明.小腿肌间静脉血栓的抗凝治疗进展[J].中国医学科学院学报,2021,43:822-826.
Xiong CM.Advances in anticoagulant therapy for calf intramuscular venous thrombosis[J].Acta Academiae Medicinae Sinicae,2021,43:822-826.
[43]陈国华,刘声野,李波霞,等.肌间静脉血栓的抗栓治疗[J].介入放射学杂志,2023,32:936-941.
Chen GH,Liu SY,Li BX,et al.Antithrombotic therapy for intramuscular venous thrombosis[J].J Interv Radiol,2023,32:936-941.
[44]中华医学会外科学分会血管外科学组,中国医师协会血管外科医师分会,海峡两岸医药卫生交流协会血管外科分会,等.孤立性远端深静脉血栓诊疗建议[J].中华普通外科杂志,2021,36:719-721.
Vascular Surgery Group,Chinese Society of Surgery,Chinese Medical Association; Vascular Surgeons Branch,Chinese Medical Doctor Association; Vascular Surgery Branch,Cross-strait Medicine and Health Exchange Association,et al.Recommendations for diagnosis and treatment of isolated distal deep vein thrombosis[J].Chinese Journal of General Surgery,2021,36:719-721.
[45]Streiff MB,Agnelli G,Connors JM,et al.Guidance for the treatment of deep vein thrombosis and pulmonary embolism[J].J Thromb Thrombolys,2016,41:32-67.
[46]Kearon C,Akl EA,Comerota AJ,et al.Antithrombotic therapy for VTE disease:Antithrombotic therapy and prevention of thrombosis:American College of Chest Physicians Evidence-based clinical practice guidelines[J].Chest,2012,141:e419S-e496S.
[47]Stevens SM,Woller SC,Kreuziger LB,et al.Antithrombotic therapy for VTE disease:Second update of the CHEST guideline and expert panel report[J].Chest,2021,160:e545-e608.
[48]Mazzolai L,Ageno W,Alatri A,et al.Second consensus document on diagnosis and management of acute deep vein thrombosis:Updated document elaborated by the ESC Working Group on aorta and peripheral vascular diseases and the ESC Working Group on pulmonary circulation and right ventricular function[J].Eur J Prev Cardiol,2022,29:1248-1263.
[49]Tran HA,Gibbs H,Merriman E,et al.New guidelines from the Thrombosis and Haemostasis Society of Australia and New Zealand for the diagnosis and management of venous thromboembolism[J].Med J Aust,2019,210:227-235.
[50]Dria SJ,Eggers MD.In vitro evaluation of clot capture efficiency of an absorbable vena cava filter[J].J Vasc Surg Venous Lymphat Disord,2016,4:472-478.
[51]中华医学会外科学分会血管外科学组,李晓强,王深明.深静脉血栓形成的诊断和治疗指南(第二版)[J].中华普通外科杂志,2012,27:605-607.
Vascular Surgery Group,Chinese Society of Surgery,Chinese Medical Association,Li XQ,Wang SM.Guidelines for the Diagnosis and Treatment of Deep Vein Thrombosis(2nd Edition)[J].Chinese Journal of General Surgery,2012,27:605-607.
[52]Gillet JL,Perrin MR,Allaert FA.Short-term and Mid-term outcome of isolated symptomatic muscular calf vein thrombosis[J].J Vasc Surg,2007,46:513-519.
[53]Palareti G,Cosmi B,Lessiani G,et al.Evolution of untreated calf Deep-vein thrombosis in high risk symptomatic outpatients:The blind,prospective CALTHRO study[J].Thromb Haemostasis,2010,104:1063-1070.
[54]Spencer FA,Kroll A,Lessard D,et al.Isolated calf deep vein thrombosis in the community setting:the Worcester Venous Thromboembolism study[J].J Thromb Thrombolys,2012,33:211-217.
[55]Broderick C,Watson L,Armon MP.Thrombolytic strategies versus standard anticoagulation for acute deep vein thrombosis of the lower limb[J].Cochrane Database Syst Rev,2021,1:CD002783.
[56]孙娟娟,郭伟光.中西医治疗下肢深静脉血栓的研究进展[J].临床医学进展,2023,13:11588-11593.
Sun JJ,Guo WG.Research progress on integrated Chinese and Western medicine treatment of lower extremity deep vein thrombosis[J].Advances in Clinical Medicine,2023,13:11588-11593.
[57]张 菁,张 琛,姜梦媛,等.艾灸改善肿瘤患者血液高凝状态的效果研究[J].中华护理杂志,2024,59:2873-2878.
Zhang J,Zhang C,Jiang MY,et al.Study on the effect of moxibustion in improving hypercoagulable state in cancer patients[J].Chinese Journal of Nursing,2024,59:2873-2878.
[58]刘晓宁.针灸联合中药治疗脑出血后下肢深静脉血栓患者的效果[J].中国现代药物应用,2021,15:200-202.
Liu XN.Effect of acupuncture combined with Chinese medicine on lower extremity deep vein thrombosis patients after cerebral hemorrhage[J].Chinese Journal of Modern Drug Application,2021,15:200-202.
[59]中国健康促进基金会血栓与血管专项基金专家委员会,中华医学会呼吸病学分会肺栓塞与肺血管病学组,中国医师协会呼吸医师分会肺栓塞与肺血管病工作委员会.医院内静脉血栓栓塞症防治与管理建议[J].中华医学杂志,2018,98:1383-1388.
Expert Committee of Thrombosis and Vascular Special Fund,China Health Promotion Foundation; Pulmonary Embolism and Pulmonary Vascular Disease Group,Chinese Thoracic Society,Chinese Medical Association; Pulmonary Embolism and Pulmonary Vascular Disease Working Committee,Respiratory Physicians Branch,Chinese Medical Doctor Association.Recommendations for prevention,treatment and management of hospital-acquired venous thromboembolism[J].National Medical Journal of China,2018,98:1383-1388.
[60]中华医学会心血管病学分会,中国医师协会心血管内科医师分会肺血管疾病学组,中国肺栓塞救治团队(PERT)联盟.急性肺栓塞多学科团队救治中国专家共识[J].中华心血管病杂志,2022,50:25-35.
Chinese Society of Cardiology,Chinese Medical Association; Pulmonary Vascular Disease Group,Cardiovascular Physicians Branch,Chinese Medical Doctor Association; China Pulmonary Embolism Response Team(PERT)Alliance.Chinese expert consensus on multidisciplinary team treatment of acute pulmonary embolism[J].Chinese Journal of Cardiology,2022,50:25-35.
[61]Waters-Banker C,Dupont-Versteegden EE,Kitzman P H,et al.Investigating the mechanisms of massage efficacy:the role of mechanical immunomodulation[J].J Athl Training,2014,49:266-273.
[62]Law H,Chan MHW,Cheng MPC,et al.Effect of hot water foot bath on the venous haemodynamics in lower Extremities-a feasibility study[J].J Med Imaging Radiat,2024,55:101714.
[63]De Moraes Silva MA,Nakano LCU,Cisneros LL,et al.Balneotherapy for chronic venous insufficiency[J].Cochrane Database of Systematic Reviews,2023,1:CD013085.
[64]Decousus H,Bertoletti L,Frappe P,et al.Recent findings in the epidemiology,diagnosis and treatment of Superficial-vein thrombosis[J].Thromb Res,2011,127:S81-S85.
[65]Blin P,Sevestre MA,Pouchain D,et al.Management and 3-month outcomes of isolated superficial vein thrombosis of the lower limb:a real-world cohort study[J].Thromb Res,2017,157:117-119.
[66]植艳茹,李海燕,陈燕青.梯度压力袜用于静脉血栓栓塞症防治专家共识[J].介入放射学杂志,2019,28:811-818.
Zhi YR,Li HY,Chen YQ.Expert consensus on the use of graduated compression stockings for prevention and treatment of venous thromboembolism[J].J Interv Radiol,2019,28:811-818.
[67]Mol GC,van de ree MA,Klok FA,et al.One versus two years of elastic compression stockings for prevention of post-thrombotic syndrome(OCTAVIA study):randomised controlled trial[J].BMJ,2016,353:i2691.
[68]戴 琪,李 方,张筱童,等.弹力袜在围术期静脉血栓栓塞症防治中的最佳证据总结[J].护理学报,2022,29:45-49.
Dai Q,Li F,Zhang XT,et al.Summary of best evidence for elastic stockings in prevention and treatment of perioperative venous thromboembolism[J].Journal of Nursing,2022,29:45-49.
[69]中国微循环学会周围血管疾病专业委员会压力学组.血管压力治疗中国专家共识(2021版)[J].中华医学杂志,2021,101:1214-1225.
Pressure Therapy Group,Peripheral Vascular Disease Committee,Chinese Microcirculation Society.Chinese expert consensus on vascular pressure therapy(2021 Edition)[J].National Medical Journal of China,2021,101:1214-1225.
[70]Kim NY,Ryu S,Kim YH.Effects of intermittent pneumatic compression devices interventions to prevent deep vein thrombosis in surgical patients:a systematic review and meta-analysis of randomized controlled trials[J].PloS One,2024,19:e0307602.
[71]Dennis M,Sandercock P,Reid J,et al.Does intermittent pneumatic compression reduce the risk of post stroke deep vein thrombosis? The CLOTS 3 trial:study protocol for a randomized controlled trial[J].Trials,2012,13:26.
[72]Hews-Girard J,Guelcher C,Meldau J,et al.Principles and theory guiding development and delivery of patient education in disorders of thrombosis and hemostasis:Reviewing the current literature[J].Res Pract Thromb Hae,2017,1:162-171.
[73]Singh K,Yakoub D,Giangola P,et al.Early Follow-up and treatment recommendations for isolated calf deep venous thrombosis[J].J Vasc Surg,2012,55:136-140.
[74]Akram F,Fan BE,Tan CW,et al.The clinical application of venous ultrasound in diagnosis and follow-up of lower extremity deep vein thrombosis(DVT):a case-based discussion[J].Thrombosis J,2023,21:110.
[75]余宇潇.小腿肌间静脉血栓预后的临床研究[D].遵义:遵义医科大学,2019.
Yu YX.Clinical study on the prognosis of calf intramuscular venous thrombosis[D].Zunyi:Zunyi Medical University,2019.
[76]Wang C,Shi C,Guo R,et al.Comparison of clinical outcomes among patients with isolated axial vs muscular calf vein thrombosis:a systematic review andMeta-analysis[J].J Vasc Surg-Venous L,2024,12:101727.
[77]Turner BRH,Thapar A,Jasionowska S,et al.Systematic review and Meta-analysis of the pooled rate of Post-thrombotic syndrome after isolated distal deep venous thrombosis[J].Eur J Vasc Endovasc,2023,65:291-297.
[78]Galanaud JP,Monreal M,Kahn SR.Epidemiology of the Post-thrombotic syndrome[J].Thromb Res,2018,164:100-109.
[79]Qiu Y,Yang Z,Yang F,et al.Prophylactic dose of rivaroxaban versus warfarin for the treatment of isolated calf muscle vein thrombosis:a retrospective propensity score-matched analysis[J].Ann Vasc Surg,2024,108:508-518.
[80]中国医师协会介入医师分会,中华医学会放射学分会介入专业委员会,中国静脉介入联盟.下肢深静脉血栓形成介入治疗规范的专家共识(第2版)[J].中华医学杂志,2018,98:1813-1821.
Chinese College of Interventionalists,Chinese Medical Doctor Association; Interventional Radiology Committee,Chinese Society of Radiology,Chinese Medical Association; Chinese Venous Interventional Alliance.Expert consensus on interventional treatment standardization for lower extremity deep vein thrombosis(2nd edition)[J].National Medical Journal of China,2018,98:1813-1821.
[81]Kahn SR,Comerota AJ,Cushman M,et al.The Postthro-mbotic Syndrome:Evidence-Based Prevention,Diagnosis,and Treatment Strategies:A Scientific Statement from the American Heart Association[J].Circulation,2014,130:1636-1661.
[82]张 涛.血栓形成后综合征的治疗及预防[J].临床医学进展,2023,13:1636-1644.
Zhang T.Treatment and prevention of post-thrombotic syndrome[J].Advances in Clinical Medicine,2023,13:1636-1644.
(收稿日期:2025-08-13)
(本文编辑:新 宇)

备注/Memo

备注/Memo:
通信作者: 莫 伟(湖南省人民医院/湖南师范大学附属第一医院)E-mail:417273613@qq.com
向 华(湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院)E-mail:vipxiangh@163.com
更新日期/Last Update: 2026-03-25