摘要
目的 评价经动脉途径应用溶栓药治疗下肢重症深静脉血栓形成的临床疗效。方法 采用Seldinger法 ,经健侧股动脉置管到患侧动脉周围加压滴注溶栓药。 结果 治疗组治愈率为 87% ,对照组为 3 0 % ,明显优于对照组 (P <0 .0 1)。治疗前后肢围的比较 ,明显优于对照组 (P <0 .0 5 )。治疗时机既适用于早期又适用于晚期重症者。消肿时间治疗组均≤ 7d ,与对照组差异有显著性。结论 介入疗法动脉内应用溶栓药物可有效治疗下肢重症深静脉血栓形成 ,疗效显著 ,值得临床推广。
Objective Appraising the clinical curative effect on the lower extremity serious deep venous thrombosis through thrombolytic arterial catheterization.Methods With Seldinger's technique, placing catheter into popliteal artery through the contralateral healthy side femaral artery and then dripping the thrombolitic agents into the thrombotic popliteal artery. Results The cure rate reached 87% in the treatment group and for the controll group was 30%,( P< 0.01). The comparison of limb parameters before and after treatment was obviously superior to the controll group ( P <0.05). The treatment was not only suitable in early stage but also as well for the serious ones in advanced stage. The time for the inflammation to subside of the treatment group was≤7 days, showing a great disparity to the controll group.Conclusions Arterial catheterization thombolysis in treating serious deep venous thrombosis of the lower extremities is an effective method, with better prognosis and worthy to be recommended.
出处
《介入放射学杂志》
CSCD
2003年第3期208-210,共3页
Journal of Interventional Radiology
