下腔静脉滤器植入后中西医结合介入治疗急性下肢深静脉血栓的临床应用

The clinical application of interventional therapy of integrating traditional and western medicine in the treatment of acute lower extremity deep venous thrombosis after inferior vena cava filter placement

目的探讨下腔静脉滤器植入后中西医结合介入治疗急性下肢深静脉血栓形成的应用价值。方法收集有明确临床症状、体征，并经彩色多普勒超声或造影证实的下肢深静脉血栓形成患者56例，随机分为治疗组（28例）和对照组（28例），所有急性下肢深静脉血栓患者均在植入下腔静脉滤器后抗凝治疗，治疗组经插管溶栓或经患肢足背静脉溶栓治疗并联合应用中药内服外敷，对照组经插管溶栓或经患肢足背静脉溶栓治疗。结果按血管通畅度评价，治疗组血管通畅度高于对照组。随访结果显示治疗组治疗的疗效优于对照组治疗（P〈0．01）。溶栓治疗过程中未出现肺动脉栓塞症状及出血现象。结论中西医结合介入治疗方法对急性下肢深静脉血栓形成有良效，结合中医辨证论治综合治疗，可以增强疗效。

Objective Discuss the value of interventional therapy of integrating traditional and western medicine in the treatment of acute lower extremity deep venous thrombosis after inferior vena cava filter placement. Methods Fifty-six cases of acute lower extremity deep venous thrombosis patients who had definite symptoms, clinical signs and approved by color Doppler Ultrasound or angiography were collected, and were randomly divided into treatment group （28 cases） and control group （28 cases）. All patients with acute deep vein thrombosis received anticoagulant therapy after implantation of inferior vena cava filter. The treatment group received thrombolytic therapy after intubation or thrombolytic therapy dorsal limb and combined with Chinese medicine for oral drugs and topical drugs; the control group received thrombolytic therapy after intubation or thrombolytic therapy dorsal limb. Results According to the evaluation result of vascular patency, the vascular patency of the treatment group was higher than control group. Follow-up visifs results showed the efficacy of the treatment group was superior to the control group （P〈0.01）. No pulmonary embolism and hemorrhage occurred during the procedure of thrombolysis. Conclusions Interventional therapy of integrating traditional and western medicine in the treatment of acute lower extremity deep venous thrombosis after inferior vena cava filter placement brings good result and can reinforce the curative effect.