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目的评价溶栓导管治疗下肢深静脉血栓形成(DVT)的疗效。方法2003年4月～2004年10月,32例左下肢DVT患者施行了溶栓导管置入术,采用抗凝及经溶栓导管脉冲式灌注尿激酶治疗。其中行下腔静脉滤器置入术11例、行髂总静脉球囊扩张术10例,行髂总静脉支架置入术2例。结果溶栓导管平均放置时间为(7.7±2.3)d。下肢水肿完全消退28例,部分消退4例。左下肢深静脉血栓完全溶解29例,其中12例存在左髂静脉受压综合征;血栓部分溶解3例。无出血、肺动脉栓塞等并发症。结论采用溶栓导管治疗下肢DVT是一种安全、有效的方法。
Objective To evaluate the efficacy of thrombolytic catheter in the treatment of deep vein thrombosis (DVT). Methods From April 2003 to October 2004, 32 patients undergoing left ventricular DVT underwent thrombolytic catheterization. Anticoagulation and thrombolytic catheterization of urokinase were used. Including inferior vena cava filter placement in 11 cases, total iliac balloon dilatation in 10 cases, total iliac stent implantation in 2 cases. Results The average placement time of thrombolytic catheters was (7.7 ± 2.3) d. Lower extremity edema completely subsided in 28 cases, partially dissipated in 4 cases. Left venous deep venous thrombosis completely dissolved in 29 cases, of which 12 cases of left iliac vein compression syndrome; partial thrombosis in 3 cases. No bleeding, pulmonary embolism and other complications. Conclusion The use of thrombolytic catheter for DVT of lower extremities is a safe and effective method.