介入治疗下肢静脉血栓临床疗效观察.docxVIP

介入治疗下肢静脉血栓临床疗效观察 (陕西省延安市人民医院放射科陕西延安716000) 【摘 要】目的：观察对下肢静脉血栓采用介入治疗的临床疗效。方法：选 取木院2011年5月至2015年4月收治的下肢静脉血栓患者72例为木组研究对 象，所有患者均行介入溶栓治疗，术后继续给予抗凝、溶栓与抗炎等综合治疗, 观察患者的临床疗效。结果：72例患者介入治疗总有效率为94.4%；溶栓后健患 侧大腿、小腿的周径差显著缩小，与溶栓前相比，差异有统计学意义(P0.01)； 溶栓后静脉通畅评分与溶栓前相比显著降低(P0.01)o静脉通畅率为 (52.5plusmn;16.1) %。结论：对下肢静脉血栓采用介入治疗疗效确切，能够 有效提高治疗效果，安全可靠，具有临床推广应用的价值。 【关键词】下肢静脉血栓；介入治疗；临床疗效 【中图分类号】R619 【文献标识码】A 【文章编号】1004-6194 (2015) 02-0113-01 Clinical observation of interventional treatment for lower extremity venous thrombosis Zhang Heng Department of Radiology, Yanan Peoples Hospital of Shaanxi province zip code: 716000 [Abstract】Objective: To investigate the use of deep vein thrombosis interventional clinical efficacy. Methods: Patients with deep vein thrombosis hospital from May 2011 to April 2015 were treated 72 cases of group-based study, all patients underwent interventional thrombolytic therapy, after continued anticoagulation, thrombolysis and anti-inflammatory comprehensive treatment, clinical efficacy in patients. Results: 72 patients involved in the treatment, the total effective rate was 94.4%; after thrombolysis health ipsilateral thigh circumferenee difference sign讦icantly reduced calf, compared with the previous thrombolysis, the differenee was statistically sign讦icant (P lt;0.01); thrombolytic significantly lower compared with the previous patency rates after thrombolysis (P lt;0.01). Patency rate was (52.5 plusmn; 16-1)%. Conclusion: deep vein thrombosis interventional treatment is effective, can effectively improve the therapeutic effect, safe and reliable, with the value of clinical applications. 【Keywords］ deep vein thrombosis; intervention therapy; clinical efficacy 下肢静脉血栓是一种常见的疾病，临床表现为行动困难、下肢肿胀，并 局部出现涨满、灼烧与沉重、深部疼痛感。发生下肢静脉血栓后，若血栓未及时 清除，则将刺激静脉壁造成炎性反应，再次形成血栓。当血栓形成后，部分可自 行再通，但闭塞血管无法在短吋间内再通吋，则将导致血管的永久性闭塞［1］。 为此，下肢静脉血栓的早期诊断与治疗是非常重要的。本研究对72例下肢静脉 血栓患者给予了介入治疗，获得了良好的效果，现报告如下。 1资料与方法 基本资料 选取本院2011年5月至2015年4月收治的下肢静脉血栓患者72例为 本组研究对象，所有患者均确诊，并经多普勒超声检查证实，符合下肢静脉血栓 临床诊断标准。男43例，女29例;年龄37~76岁,平均(