摘要
目的评估暂时性动静脉瘘(arteriovenousfistula,AVF)在Amplatz血栓消融器(Amplatzthrombectomydevice,ATD)治疗急性深静脉血栓形成(deepvenousthrombosis,DVT)中的作用。方法76例急性DVT患者采取ATD血栓消融术治疗,其中50例患者在介入治疗的基础上辅以暂时性AVF。结果1例术后第1天死于肺栓塞。72例术后第1天患肢肿胀明显消退、疼痛缓解。2例术后第7天对侧肢体继发DVT。暂时性AVF通畅率86%(43/50)。术后随访10～42个月,随访率90.7%(68/75)。59例肿胀消失,6例轻度下肢肿胀,1例继发下腔静脉血栓形成,2例死于其他疾病。结论暂时性AVF可提高取栓后静脉的血流量和加快其血流速度,提高静脉通畅率,是ATD的一个有益的辅助手段。
Objective To evaluate the role of temporary arteriovenous fistula(AVF) in the treatment of acute deep venous thrombosis(DVT) with Amplatz thrombectomy device(ATD). Method Seventy-six cases of acute DVT underwent mechanical thrombolysis with ATD, in which 50 cases received a temporary AVF after interventional therapy. Result One case died of pulmonary embolism. Ipsilateral limbs swelling subsided and pain alleviated in the remaining 72 cases since first post-operative day. Secondary contralateral DVT developed in 2 cases on the 7th post-operative day. The patency of temporary AVF was 86%(43/50). Sixty-eight cases (90.7%) were followed-up for 10~42 months post-operatively with limbs swelling completely subsided in 59 cases and ameliorated in 6 cases. Secondary inferior vena cava thrombosis developed in one case and 2 cases died of unrelated diseases. Conclusion Temporary AVF increases blood flow volume and blood velocity in the thrombectomized vein segment to improve the vein patency, hence is a valuable auxiliary means of ATD.
出处
《中华普通外科杂志》
CSCD
北大核心
2005年第6期353-355,共3页
Chinese Journal of General Surgery
基金
安徽省科委"十五"科技攻关基金资助项目(01013028)
