[1]王孝运,段鹏飞,倪才方.下肢深静脉血栓形成伴髂静脉狭窄支架植入与否近中期临床疗效比较 [J].介入放射学杂志,2018,27(12):1140-1143.
 WANG Xiaoyun,DUAN Pengfei,NI Caifang.Use vs not use of stent implantation in treating deep venous thrombosis of the lower extremities associated with iliac vein stenosis: comparison of clinical mid- term efficacy[J].journal interventional radiology,2018,27(12):1140-1143.
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下肢深静脉血栓形成伴髂静脉狭窄支架植入与否近中期临床疗效比较 ()

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

卷:
27
期数:
2018年12期
页码:
1140-1143
栏目:
血管介入
出版日期:
2018-12-25

文章信息/Info

Title:
Use vs not use of stent implantation in treating deep venous thrombosis of the lower extremities associated with iliac vein stenosis: comparison of clinical mid- term efficacy
作者:
王孝运 段鹏飞 倪才方
Author(s):
WANG Xiaoyun DUAN Pengfei NI Caifang
Department of Interventional Radiology, First Affiliated Hospital, Soochow University, Suzhou, Jiangsu Province 215000, China
关键词:
【关键词】 深静脉血栓形成 导管接触溶栓 机械吸栓 髂静脉狭窄 支架植入 深静脉通畅率
文献标志码:
A
摘要:
【摘要】 目的 比较分析急性下肢深静脉血栓形成(DVT)血栓清除后发现髂静脉狭窄/闭塞是否植入支架的近中期疗效。方法 回顾性分析2013年6月至2016年6月收治的60例下肢DVT患者临床资料。所有患者均经导管接触溶栓(CDT)和/或AngioJet机械吸栓清除血栓后造影发现髂静脉狭窄/闭塞,其中32例行髂静脉球囊扩张支架植入术(支架组),28例未予髂静脉球囊扩张支架植入(对照组)。比较两组近期溶栓率、出血并发症发生率、出院前下肢消肿率,中期深静脉通畅率、DVT复发率、髂静脉闭塞率、慢性静脉功能不全调查量表(CIVIQ)评分[3]及临床表现、病因、解剖和病理生理学(CEAP)分级。结果 60例患者手术均获成功。支架组与对照组溶栓时间、出血并发症发生率差异均无统计学意义(P>0.05),溶栓率、出院前下肢消肿率差异均有统计学意义(P<0.05)。平均随访(20.4±7.8)个月, 支架组中期深静脉通畅率、DVT复发率、髂静脉闭塞率、CIVIQ评分、CEAP分级等指标均优于对照组(P<0.05)。结论 血栓清除后同期髂静脉球囊扩张支架植入,对提高急性下肢DVT伴髂静脉狭窄/闭塞患者近中期疗效具有重要价值。

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备注/Memo

备注/Memo:
(收稿日期:2018-01-21)
(本文编辑:边 佶)
更新日期/Last Update: 2018-12-20