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目的分析对比在急性髂股静脉血栓的治疗中逆行置管溶栓和全身静脉溶栓的临床应用效果。方法 112例急性髂股静脉血栓患者,以治疗方法的不同分为观察组与对照组,各56例。对照组患者实行全身静脉溶栓治疗,观察组患者实行逆行置溶栓导管治疗。对比两组患者临床相关指标的变化情况以及并发症的发生情况。结果观察组患者穿刺消耗时间和临床并发症发生率与对照组患者比较明显较少,差异具有统计学意义(P<0.05);两组肢体消肿率和静脉畅通度比较,差异无统计学意义(P>0.05)。结论在急性髂股静脉血栓治疗中逆行置管溶栓的临床作用更为突出,可以减少临床穿刺所用时间,在一定程度上减轻了患者的痛苦,同时也能降低术后并发症的发生率。
Objective To analyze and compare the clinical effects of retrograde catheterization and systemic thrombolysis in the treatment of acute iliac vein thrombosis. Methods A total of 112 patients with acute iliac vein thrombosis were divided into observation group and control group with 56 cases in each group. Patients in the control group received systemic thrombolysis and patients in the observation group received retrograde thrombolysis catheterization. The changes of clinically relevant indicators and the incidence of complications in the two groups were compared. Results Compared with the control group, the time spent on puncture and the incidence of clinical complications in the observation group were significantly less than those in the control group (P <0.05). There was no significant difference in the rate of exudation between the two groups (P> 0.05). Conclusion The clinical effect of retrograde catheter thrombolysis in the treatment of acute iliofemoral venous thrombosis is more prominent, which can reduce the time spent in clinical puncture, relieve the patient’s pain to a certain extent and reduce the incidence of postoperative complications.