摘要
目的:探讨下肢深静脉血栓形成流变除栓术治疗的临床疗效与安全性。方法:对25例12d内的下肢深静脉血栓形成患者,采用经皮穿刺方法置入6F或8F两种型号Oasis流变溶栓导管并与高压注射器连接,将生理盐水以2 5mL/s的流率和5171kPa的压力注入,行流变血栓清除术,并辅以球囊扩张、内支架置入术治疗。观察血管开通、临床疗效和并发症发生情况。结果:流变血栓清除术后,25例重建了前向血流,并清除了绝大部分血栓物质,技术成功率(残留狭窄<50%)为72%(18/25);8例附加球囊扩张,其中7例附加内支架治疗;3、6个月的初始血管开放率均为100%,经平均8 5个月的随访,治愈率为84%(21/25),后遗症发生率16%(4/25);本组病例无严重并发症发生。结论:流变血栓清除术治疗下肢深静脉血栓形成是安全有效的。
Aim: To explore the efficacy and safety of Rheolytic Thrombectomy for deep vein thrombosis of lower extremity. Methods: In 25 patients with deep vein thrombosis of lower extremity, hydrodynamic rheolytic thrombectomy was performed with the Oasis catheter. Adjunctive therapy (balloandilatation, internal stent) was performed in 8 patients. The revascularization, clinical efficacy, and complications were observed. Results: After hydrodynamic rheolytic thrombectomy, the majority of thrombus material was removed and antegrade blood flow was reestablished in 25 (100%) patients. Technical success rate (residual luminal narrowing <50%) was 72%. Primary patency rates were 100% after 3 and 6 months. Follow-up for 3～21 months (average 8.5 months) showed excellent results in 84%, and the morbidity of post-thrombotic syndrome only 16%. No significant complications occurred in all the patients. Conclusion: Rheolytic Thrombectomy for deep vein thrombosis of lower extremity is safe and effective.[
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
2003年第2期79-83,共5页
Journal of Jinan University(Natural Science & Medicine Edition)
