中西医结合治疗下肢深静脉血栓形成徐兴闻狄海庭史健朱军.docxVIP

中西医结合治疗下肢深静脉血栓形成 徐兴闻狄海庭 史健朱军 徐兴闻狄海庭史健朱军(江苏省漂阳市屮医院放射科 江苏漂阳213300) 【中图分类号】R543.6【文献标识码]A【文章编号】1672-5085 (2011) 40-0007-03 【摘要】FI的探讨中西医结合介入治疗下肢深静脉血栓形成的临床应用价值。 方法收集有明确临床症状?体征，并经血管造影证实的卞肢深静脉血栓形成患者 15例，施行介入插管，双通道溶栓，并联合应用中西药内服外敷。15例全部置入下 腔静脉滤器。结果 治疗后显效9例(60%),有效6例(40%),无效0例。1月后复查, 显效12例(80%),有效3例(20%)。未出现严重并发症，5年随访无1例复发。结 论屮西医结合介入治疗方法对下肢深静脉血栓形成有较好治疗效果，结合屮医 辨证论治综合治疗，可以明显增强疗效降低复发率。 【关键词】深静脉血栓形成 中西医结合 介入放射学 The clinical application of integrating traditional and western medicine therapy for lower limb deep venous thrombosis. 【Abstract] Objective To explore the clinical effect of comprehensive interventional therapy for lower limb deep venous thrombosis. Methods All of the 15 patients had definite symptoms and clinical signs and the lower extremity deep venous thrombosis was con firmed by an giography. Catheter-directed thrombolytic therapy and the placement of inferior vena cava filter with chinese medicine therapy was employed in all the patients. Results During the follow-up period, no serious complications occurred? After treatment, 9 patients (60%) were apparently valid, 6 patie nts (60%)valid; none patie nts in valid ? No recurrence was found duri ng the 5 years follow-up. Conclusion Integrating traditional and western medicine therapy is an effective technique for the treatment of lower limb deep venous thrombosis. With the combi nation of treatme nt accordi ng to syn drome differentiatio n could improve the efficacy and reduce recurrence of deep venous thrombosis. 【Key words] deep venous thrombosis integrating traditional and western medicine interventional therapy 下肢深静脉血栓形成(deepveinthrombosis,DVT)^—种临床常见病，它不 但能够引起下肢的淤血肿胀?活动不便，严重者出现肢体坏疽，其最严重的并发症 为致死性肺栓塞。作者采用以介入为主的中西医结合疗法治疗一组DVT病例，取 得了较好的疗效,现报告如下： 1资料与方法 1.1 一般资料：本组共收集病例15例其中男9例，女6例;年龄27-82岁” 平均56岁，全部患者患肢皆为左下肢，临床以左下肢不同程度的肿胀最为明显， 其中1例患肢肿胀明显并伴张力性水泡。皮肤颜色呈暗紫色，皮温略增高。患者 自觉左下肢坠胀?疼痛，活动受限。6例起病于手术后,2例发病于分娩后,其余患 者无明显诱发因素。病程为2-30do彩色多普勒超声及顺行性静脉造影检查提示 3例左侧骼股静脉完全性血栓形成，12例患者左下肢深静脉广泛性血栓形成，入 院后根据中医辨证予以中药汤剂内服;同时行血常规?凝血四项及心肝肾功能等常 规检查，确认