经皮血栓碎吸与介入溶栓对急性下肢深静脉血栓形成的疗效比较

目的探讨经皮血栓碎吸术与介入溶栓术对急性下肢深静脉的临床疗效。方法回顾性分析2010年5月～2011年5月收治的71例急性下肢深静脉血栓患者临床资料。根据治疗方式不同,A组37例行经皮血栓碎吸术,B组34例行介入溶栓术。结果 A组治疗总有效率94.59%明显高于B组73 53%,并发症A组8 11%低于B组32.35%,差异均有统计学意义(均P<0 05)。随访1 2个月,水肿,色素沉着,静脉曲张,皮肤溃疡等后遗症发生率A组明显低于B组,差异均有统计学意义(均P<0.05)。结论经皮血栓碎吸术治疗下肢深静脉血栓优于单纯介入溶栓术,临床疗效显著,住院时间短,并发症少,后遗症发生率低,值得在基层医院推广应用。

Objective To investigate the clinical effect of percutaneous aspiration thrombectomy versus interventional thrombolysis for acute lower extremity deep venous thrombosis. Methods From May 2010 to May 2011, the clinical＂ data of 71 cases with acute LEDVT were reviewed. According to the different therapeutic methods, 37 cases of group A were treated with percutaneous aspiration thrombectomy, 34 cases of group B received interventional thrombolysis therapy. Results The overall effective rate of group A（94.59%） was higher than group（73.53%） B.The incidence of complications of group A（8.11%） was lower than group B（32.35%）,both the differences were statistical significance（both P〈0.05 ）.Follow up 12 months,the sequelae of Edema, pigmentation, varicose veins, skin ulcer group A were lower than group B, both the differences were statistical significance（both P〈0.05）.Conclusion Percutaneous aspiration thromhectomy for acute lower extremity deep venous thrombosis was better than interventional thrombolysis, for its distinct clinical curative effect, shorter hospitalization time, fewer complications and relatively lower sequelae, Worthy of popularization and application in basic-level hospitals.