[1]杜 猛,张锦生. 介入治疗急性深静脉血栓的临床观察[J].介入放射学杂志,2011,(11):858-861.
 DU Meng,ZHANG Jing-sheng..Interventional therapy for acute deep venous thrombosis: a clinical observation[J].journal interventional radiology,2011,(11):858-861.
点击复制

  介入治疗急性深静脉血栓的临床观察 ()

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:
2011年11期
页码:
858-861
栏目:
血管介入
出版日期:
2011-11-25

文章信息/Info

Title:
Interventional therapy for acute deep venous thrombosis: a clinical observation
作者:
 杜 猛 张锦生
510130 广州市中医院血管外科
Author(s):
DU Meng ZHANG Jing-sheng.
Department of Vascular Surgery, Municipal Hospital of Traditional Chinese Medicine, Guangzhou 510130, China
关键词:
 【关键词】 深静脉血栓 介入溶栓 系统溶栓
分类号:
R543.6
文献标志码:
A
摘要:
【摘要】 目的 比较导管介入直接溶栓和系统性溶栓治疗急性深静脉血栓(DVT)的疗效。方法 自2008年8月- 2010年8月采用导管介入直接溶栓和系统溶栓治疗44例DVT患者,患者平均年龄(42.3 ± 8.7)岁,其中23例接受导管直接溶栓治疗,21例接受系统溶栓治疗。所有病例患DVT的平均时间为(5.9 ± 4.5)d。通过外周静脉或介入导管输注尿激酶进行治疗。溶栓后残留静脉狭窄用经皮球囊血管成形和(或)支架置入治疗。结果 导管直接溶栓组中 20例(86.9%)栓塞静脉段复通,3例(13.0%)行PTA治疗,残留狭窄以支架成形治疗。系统溶栓组21例中,4例(20%)栓塞静脉段复通,1例并发肺栓塞死亡。结论 在治疗急性DVT中,导管直接溶栓法疗效优于系统溶栓法。

参考文献/References:

[1] Cho JS, Martelli E, Mozes G, et al. Effects of thrombolysis and venous thrombectomy on valvular competence, thrombogenicity, venous wall morphology, and function[J]. J Vasc Surg, 1998, 28: 787 - 799.
[2] Semba CP, Dake MD. Iliofemoral deep venous thrombosis: aggressive therapy with catheter-directed thrombolysis[J]. Radiology, 1994, 191: 487 - 494.
[3] Mewissen MW, Seabrook GR, Meissner MH, et al. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a National multicenter registry[J]. Radiology, 1999, 211: 39 - 49.
[4] 顾建平, 何 旭, 楼文胜, 等. 介入治疗576例下肢深静脉血栓形成[J]. 南京医科大学学报: 自然科学版, 2006, 26: 1261 - 1264.
[5] Rhodes JM, Cho JS, Gloviczki P, et al. Thrombolysis for experimental deep venous thrombosis maintains valvular competence and vasoreactivity[J]. J Vasc Surg, 2000, 31: 1193 - 1205.
[6] Laiho MK, Oinonen A, Sugano N, et al. Preservation of venous valve function after catheter-directed and systemic thrombolysis for deep venous thrombosis[J]. Eur J Vasc Endovasc Surg, 2004, 28: 391 - 396.
[7] Sillesen H, Just S, Jrgensen M, et al. Catheter directed thrombolysis for treatment of ilio-femoral deep venous thrombosis is durable, preserves venous valve function and May prevent chronic venous insufficiency[J]. Eur J Vasc Endovasc Surg, 2005, 30: 556 - 562.
[8] Comerota AJ, Throm RC, Mathias SD, et al. Catheter-directed thrombolysis for iliofemoral deep venous thrombosis improves health-related quality of Life[J]. Vasc Surg, 2000, 32: 130 - 137.
[9] Burger CM, Jacobs C, Patel NH. Epidemiologr of acute deep vein thrombosis[J]. Tech Vase Interv Radiol, 2004, 7: 50 - 54.
[10] Yamagami T, Kato T, Iida S, et al. Gunther tulip inferior vena cava filter placement during treatment for deep venous thrombosis of the lower extremity[J]. Cardiovasc Intervent Radiol, 2005, 28: 442 - 453.
[11] Wallace MJ, Jean JL, Gupta S, et al. Use of inferior vena caval filters and survival in patients with malignancy[J]. Cancer, 2004, 101: 1902 - 1907.
[12] 黄晓钟, 张纪蔚, 梁 卫, 等. 介入腔内溶栓治疗急性下肢深静脉血栓形成[J]. 介入放射学杂志, 2006, 15: 592 - 596.
[13] 屈文华, 谢春明. 介入治疗下肢深静脉血栓临床研究[J]. 当代医学, 2010, 16: 128 - 130.
[14] Van Breda A, Katzen BT, Deutsch AS. Urokinase versus streptokinase in local thrombolysis[J]. Radiology, 1987, 165: 109 - 111.
[15] 陈守明, 王东明, 林吉进, 等. 尿激酶溶栓治疗下肢急性深静脉血栓形成的剂量探讨[J]. 中国全科医学, 2004, 7: 23 - 24.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(11):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(11):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(11):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(11):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(11):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(11):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(11):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(11):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(11):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(11):190.
[11]赵伯翔,顾建平,陈国平,等. D-二聚体监测在治疗急性髂股静脉血栓形成中的临床价值[J].介入放射学杂志,2013,(06):464.
 ZHAO Bo? xiang,GU Jian? ping,CHEN Guo? ping,et al. The clinical value of monitoring plasma D?蛳 dimer concentrations in treating acute iliofemoral deep venous thrombosis[J].journal interventional radiology,2013,(11):464.

备注/Memo

备注/Memo:
(收稿日期:2011-05-30)
更新日期/Last Update: