摘要
目的评估"一站式"治疗急性左下肢深静脉血栓形成(DVT)合并左髂静脉受压综合征(IVCS)的安全性及疗效。方法回顾性分析2016年1月至2017年12月期间济宁医学院附属医院血管外科收治的确诊为急性左下肢DVT合并IVCS患者31例,所有患者均在一次住院期间程序性给予下腔静脉滤器植入术、导管接触性溶栓(CDT)治疗、下腔静脉滤器取出术、髂静脉球囊扩张支架植入术的"一站式"治疗,观察疗效,比较治疗前后静脉通畅度并观察出血、肺栓塞、血栓复发、深静脉血栓后综合征(PTS)等并发症。结果 31例患者治疗后临床症状明显缓解,"一站式"治疗后静脉通畅评分与治疗前静脉通畅评分对比,差异有统计学意义(P<0.05),治疗后静脉开通率(91±9.6)%,总有效率100%;治疗期间无严重出血,1例患者出现肺动脉分支栓塞,发生率为3.23%;全部患者随访期间未出现血栓复发,2例患者出现活动后患肢肿胀,1例患者出现深静脉血栓形成后综合征(PTS)。结论 "一站式"治疗方案治疗DVT合并IVCS疗效确切,并发症少,有一定的推广意义。
Objective To evaluate the efficacy and safety of One-stop treatment for acute left lower extremity Deep Venous Thrombosis(DVT)with Iliac Vein Compression Syndrome(IVCS).Methods We retrospectively analyzed the clinical data of 31 patients of acute left lower extremity DVT with IVCS who were diagnosed in the Affiliated Hospital of Jining Medical University from January 2016 to December 2017.All patients were procedurally accepted implantation of recycled inferior vena cava filter(IVCF),catheter contact thrombolysis(CDT),removal of IVCF,balloon expansion combined with stents implantation in single hospitalization.Data of curative effect,venous patency before and after treatment,bleeding,pulmonary embolism,thrombus recurrence,post-thrombotic syndrome(PTS)were collected for the analysis.Results The clinical symptoms of all patients were relieved after the treatment.Patency ratings before and after One-stop treatment was compared,and the difference was statically significant(P<0.05).Patency rate of One-stop treatmentwas 91%,while total effective rate were 100%.There was no severe bleeding during the treatment.With 1 case suffered from pulmonary embolism,the incidence of PE was 3.23%.During the follow-up period,there was no case suffered from recurrence of thrombus,2 cases suffered from postoperative swelling of the limb,and 1 case suffered from post-thrombotic syndrome(PTS).Conclusion The One-stop treatment is effective for acute left lower extremity DVT with IVCS.At the same time,it has fewer complications.So it deserves further clinical application.
作者
闫彬
李建军
孙自强
刘鹏
YAN Bin;LI Jianjun;SUN Ziqiang;LIU Peng(Jining Medical University,Jining 272067,China;The Affiliated Hospital of Jining Medical University,Jining 272029,China)
出处
《济宁医学院学报》
2018年第2期139-142,共4页
Journal of Jining Medical University
