摘要
目的 研究应用腔内超声消融技术治疗下肢深静脉血栓形成的效果。方法 回顾性分析47例下肢深静脉血栓形成患者应用超声消融治疗的临床资料。结果 5例病程长 (4个月～ 4年 )者转为血栓后遗症或因炎症无效改为手术治疗 ,42例超声消融成功 ,术后配合其它治疗。其中 3 6例静脉回心道完全通畅 ,6例部分通畅 ,术后症状体征好转。 42例平均随访 9个月 ,疗效满意。 1例术后 2个月死于直肠癌广泛转移。结论 腔内超声消融技术治疗下肢深静脉血栓形成有效 ,但需配合其它腔内治疗 ,是一种创伤小、安全、简便。
Objective To evaluate the effect of ultrasound ablation transluminally(USATL) for deep venous thrombosis(DVT) of lower extremities. Methods The clinical features of 47 patients with DVT of lower extremities treated by USATL were retrospectively analyzed. Results 5 cases were changed to surger because of a long disease course(4 months～4 years) or chronic inflammation.42 cases had satisfactory results with USATL.Among them,36 cases restored to complete return venous flow;6 had partial return flow. The symptoms and signs of 42 cases were alleviated apparently compared with pretreatment.1 case died of the rectal cancer metastasis 2 months after the treatment.Conclusions USATL can ablate DVT safely ,effectively, and conveniently.Some other transluminal angioplasties are necessary to improve the therapeutic result.
出处
《中国普通外科杂志》
CAS
CSCD
2002年第7期408-410,共3页
China Journal of General Surgery
关键词
深静脉血栓形成
治疗
下肢静脉
超声消融术
DEEP VENOUS THROMBOSIS/ther
VEIN,INFERIOR EXTREMITY
ULTRASOUND ABLATION TREATMENT
