不同治疗方式对急性下肢深静脉血栓疗效对比

目的探讨下腔静脉滤器植入联合手术治疗急性下肢深静脉血栓与单独采用静脉溶血法对急性下肢深静脉血栓的疗效，为该病治疗提供科学依据。方法回顾性分析2006年1月～2009年5月来我院收治的急性深静脉血栓患者58例的临床治疗，观察不同组别的治疗方法及效果，并分析两组之间的差别。结果两组在治疗后效果都比较好，观察组治疗前患肢与健肢周径差为5．9±2．0cm，治疗后为11±0．7cm；而对照组治疗前患肢与健肢周径差为5．5±22cm，治疗后为1．9±0．6cm。与对照组相比，观察组的消肿效果更好，且两组之间的差别具有统计学意义（P〈005）。结论彩色多普勒超声引导下腔静脉滤器植入术联合手术取栓对急性下肢深静脉血栓治疗效果显著，值得进一步的推广应用。

Objective To evaluate the feasibility and efficacy of implantation of inferior vena cava （IVC） filter under the guidance of color Doppler ultrasound and embolectomy for acute deep vein thrombosis , providing scientific basis for treatment of illness. Methods A total of 38 patients suffering acute deep vein thrombosis were recruited in our study from January 2006 to May 2009. And the therapeutic treatment and effects were survey and compared. Resuits All patients of two groups after treatment improved a lot. The circumference difference of health and illness limb was 5.9 ± 2.0cm, after treatment for 1.1 ± 0.7cm, while the control group before treatment was 5.5± 2.2cm, after treatment for 1. 9 ± 0.6cm. Compared with the control group, the treatment effect of case group was better. And the difference between the two groups was statistically significant （p〈0.05）. Conclusion Implantation of IVC filter under the guidance of color Doppler ultrasound and embolectomy is effect for acute deep vein thrombosis, and should be promoted.