[1]苏浩波,顾建平,楼文胜,等.两种顺行置管方式溶栓治疗急性髂股静脉血栓的对照研究[J].介入放射学杂志,2008,(01):15.
 SU Haobo,GU Jianping,LOU Wensheng,et al.Comparing study with two venous approches of antegrade catheterization for thrombolysis in acute iliofemoral deep vein thrombosis[J].journal interventional radiology,2008,(01):15.
点击复制

两种顺行置管方式溶栓治疗急性髂股静脉血栓的对照研究()

PDF下载中关闭

分享到:

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

卷:
期数:
2008年01期
页码:
15
栏目:
血管介入
出版日期:
2008-01-15

文章信息/Info

Title:
Comparing study with two venous approches of antegrade catheterization for thrombolysis in acute iliofemoral deep vein thrombosis
作者:
苏浩波顾建平楼文胜
210006南京南京医科大学附属南京第一医院介入科
Author(s):
SU Hao-boGU Jian-pingLOU Wen-shengHE XuCHEN LiangCHEN Guo-pingSONG Jin-huaWANG Tao.
Nanjing First Hospital,Affiliated to Nanjing Medical University,Nanjing210006,China
关键词:
急性髂股静脉血栓大隐静脉静脉置管溶栓介入治疗
分类号:
R543.6
文献标志码:
A
摘要:
目的探讨经大隐静脉穿刺入路置管溶栓治疗急性髂股静脉血栓的应用价值。方法46例经造影明确诊断的急性髂股静脉血栓患者,随机分为2组,经患肢大隐静脉入路置管溶栓的为A组(21例),经患肢静脉入路置管溶栓的为B组(25例)。对两组患者总体治疗效果、静脉通畅度、患肢消肿率、穿刺置管消耗时间及治疗期间并发症发生率等进行观察比较。结果总体有效率A组95.2%;B组96.0%;消肿率A组(86.6±20.0)%,B组(85.7±14.6)%;静脉通畅度A组(57.9±19.4)%,B组(57.7±19.3)%。两组之间疗效差异无统计学意义(P>0.05)。A组穿刺消耗时间少于B组(P<0.05),大隐静脉穿刺难度低于静脉。大隐静脉置管的并发症发生率低于静脉置管(P<0.05)。结论经大隐静脉穿刺置管溶栓治疗急性髂股静脉血栓形成是简单易行、有效的方法。

参考文献/References:

[1]Semba CP,Dake MD.Iliofemoral deep venous thrombosis:aggre-ssive therapy with catheter-directed thrombolysis[J].Radiology,1994,191:487-494.
[2]何旭,顾建平,范春瑛,等.经静脉介入治疗下肢深静脉血栓形成[J].放射学实践,2003,18:83-85.
[3]Mewissen MW.Catheter-directed thrombolysis for lower extre-mity deep venous thrombosis:report of a national multicenter registry[J].Radiology,1999,211:39-49.
[4]Porter JM,Moneta GL.Reporting standards in venous disease:an update[J].J Vasc Surg,1995,21:635-645.
[5]Vedantham S,Thorpe PE,Cardella JF.Quality improvement guidelines for the treatment of lower extremity deep vein thrombosis with use of endovascular thrombus removal[J].J Vasc Interv Radiol,2006,17:435-448.
[6]Society of Interventional Radiology Position Statement :Treatment of acute iliofemoral deep vein thrombosis with use of adjunctive catheter-directed intrathrombus thrombolysis[J].J Vasc Interv Radiol,2006,17:613-616.
[7]Rhodes JM,Cho JS,Gloviczki P,et al.Thrombolysis for experi-mental deep venous thrombosis maintains valvular competence and vasoreactivity[J].J Vasc Surg,2000,31:1193-1205.
[8]Sharafuddin MJ ,Sun S,Hoballah JJ,et al.Endovascular manage-ment of venous thrombotic and occlusive diseases of the lower extremities[J].J Vasc Interv Radiol,2003,14:405-423.
[9]蓝顺清,胡兴宇.踝前区的应用解剖[J].中国局解手术学杂志,2001,10:236-239.
[10]黄瀛.中国人解剖学数值[M].北京:人民卫生出版社,2002.

备注/Memo

备注/Memo:
收稿日期:2007-10-12
基金项目:国家科技部“十一五”支撑计划课题(2006038073624);2006年度南京医科大学科技发展基金(编号06NMUM064)
更新日期/Last Update: 2008-01-15