[1]刘文导,李锦伟,梁晓聪,等.急性左下肢深静脉血栓形成伴髂静脉受压综合征一站式介入治疗临床效果和流程分析[J].介入放射学杂志,2021,30(01):69-73.
 LIU Wendao,LI Jinwei,LIANG Xiaocong,et al.One-stop endovascular treatment for acute deep vein thrombosis of left lower extremity associated with iliac vein compression syndrome: analysis of clinical effect and intervention process[J].journal interventional radiology,2021,30(01):69-73.
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急性左下肢深静脉血栓形成伴髂静脉受压综合征一站式介入治疗临床效果和流程分析()

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

卷:
30
期数:
2021年01
页码:
69-73
栏目:
临床研究
出版日期:
2021-01-25

文章信息/Info

Title:
One-stop endovascular treatment for acute deep vein thrombosis of left lower extremity associated with iliac vein compression syndrome: analysis of clinical effect and intervention process
作者:
刘文导 李锦伟 梁晓聪 黄 准 孟凡喆 常 钢
Author(s):
LIU Wendao LI Jinwei LIANG Xiaocong HUANG Zhun MENG Fanze CHANG Gang.
Department of Vascular Intervention, Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong Province 510120, China
关键词:
【关键词】 髂静脉受压综合征 下肢深静脉血栓形成 经皮机械清除血栓 一站式腔内治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨一站式经皮机械清除血栓(PMT)和髂静脉成形术治疗急性左下肢深静脉血栓形成(DVT)伴髂静脉受压综合征(IVCS)安全性、有效性及流程。方法 回顾性分析2016年1月至2018年12月在广东省中医院接受一站式PMT、经皮腔内血管成形术(PTA)和髂静脉支架植入术治疗的41例急性左下肢DVT伴IVCS患者临床资料。所有患者术前置入下腔静脉滤器,PMT、PTA和支架植入术同期完成,术后达到Ⅲ级静脉开通患者同期取出滤器,其余经足背留置针小剂量溶栓。术后第1、3、6个月门诊随访,下肢静脉彩色超声评估下肢深静脉和髂静脉血流通畅情况。结果 41例患者一站式介入治疗均获成功,显效率87.8%(n=36),总有效率100%。AngioJet导管抽吸时间为110~480 s,平均(317.25±83.58) s。静脉Ⅲ级开通38例(92.7%),均一期取出下腔静脉滤器;Ⅱ级开通3例(7.3%),尿激酶溶栓时间为(32.00±16.67) h。41例同期植入髂静脉支架52枚。前13例患者手术时间为平均(134.78±38.94) min,随后28例手术时间缩短为(97.47±24.38) min。平均住院时间(5.21±0.63) d。术后发生1例腘静脉穿刺假性动脉瘤,1例溶栓中一过性症状性肺栓塞。所有患者入院与出院时患肢周径对比,差异有显著统计学意义(P<0.000 1)。随访中41例患者左下肢深静脉和髂静脉支架内血流通畅,未见血栓复发。结论 一站式PMT和髂静脉成形术治疗急性左下肢DVT伴IVCS患者安全有效。建立一站式介入治疗流程,有助于规范手术操作,有效缩短手术时间,提高患者手术舒适度,缩短住院时间,节约医疗资源。

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备注/Memo

备注/Memo:
(收稿日期:2019- 10- 13)
(本文编辑:边 佶)
更新日期/Last Update: 2021-01-25