摘要
目的 应用机械血栓清除术治疗急性下肢静脉血栓形成.方法 回顾性分析2015年1至7月北京清华长庚医院应用机械血栓清除术治疗的8例急性下肢静脉血栓形成的经验.8例患者均为髂股静脉血栓形成,其中2例合并下腔静脉血栓形成.经胭静脉及股静脉入路应用机械性血栓抽吸导管（Aspirex导管）清除血栓,术后均常规抗凝3～6个月,穿戴弹力袜治疗.于术后1、3、6个月复查,行下肢静脉彩超评估静脉血流情况,根据Villalta评分标准评估血栓后综合征及分级.结果 所有患者均成功完成机械血栓清除治疗,8例患者术后均恢复静脉血流,Ⅲ级血栓清除2例（完全清除）,Ⅱ级血栓清除6例.所有患者术后下肢肿胀症状均缓解,无围手术期出血、肺栓塞等并发症及死亡.平均随访3.3个月（1～6个月）,下肢静脉均血流通畅,无复发,仅1例患者于6个月后出现轻度血栓后综合征.结论 机械血栓清除术治疗急性下肢静脉血栓形成及预防血栓后综合征近期效果安全、有效,远期效果需要总结与随访更多病例数.
Objective To evaluate the use of percutaneous mechanical thrombectomy in the treatment of acute deep venous thrombosis.Methods Eight cases of acute deep venous thrombosis were reviewed who had received percutaneous mechanical thrombectomy from January to July,2015 in Beijing Tsinghua Changgung Hospital.All cases were diagnosed as iliofemoral venous thrombosis,2 cases with vena cava thrombosis.All cases received anticoagulation treatment for 3 to 6 months and pressure treatment after the procedure.Every patient was scheduled to follow up at 1,3,6 months,respectively.Results Technical success were achieved in all cases with restoring of good flow in previous lesions.Grade Ⅲ （complete） lysis was achieved in 2 cases and grade Ⅱ（50%-99%） lysis in 6 cases,swelling legs were mostly fade away.Of all study follow up,only one case with mild post-thrombotic syndrome after six months.Conclusion Percutaneous mechanical thrombectomy is safe and effective in the treatment of acute deep venous thrombosis.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2015年第48期3917-3919,共3页
National Medical Journal of China
关键词
急性下肢静脉血栓形成
介入治疗
机械血栓清除术
血栓后综合征
Acute deep venous thombosis
Endovascular treatment
Percutaneous mechanical thrombectomy
Post-thrombotic syndrome
