改良式球囊血栓抽吸术治疗急性下肢深静脉血栓

Modified balloon thrombectomy technique for acute lower extremity deep vein thrombosis

目的探讨采用改良式球囊血栓抽吸术配合腘静脉入路深静脉置管溶栓治疗下肢深静脉血栓(DVT)的技术、方法和疗效。方法对76例DVT患者采用改良式球囊血栓抽吸术配合经皮腘静静脉穿刺深静脉置管溶栓治疗(治疗组),对137例急性期DVT患者采用患肢足背静脉溶栓方法治疗(对照组),比较两组患者的疗效。结果治疗组,76例患者的治疗效果满意,技术成功率100%,治疗前后血管周径差差异有统计学意义(t=2.91,P<0.01),血管通畅率90.79%(69/76),并发症发生率15.79%(12/76);对照组治疗前后血管周径差差异有统计学意义(t=2.21,P=0.03),血管通畅率59.85%(82/137),并发症发生率24.82%(34/137)。结论采用改良式球囊血栓抽吸术联合腘静静脉入路深静脉置管溶栓技术治疗DVT是一种安全、有效的方法,且疗效满意。

Objective To explore technology, methods and curative effect in treatment of deep vein thrombosis （DVT） by using modified balloon thrombectomy technique through popliteal approach. Methods Totally 76 patients with DVT were treated with modified balloon thrombectomy technique （treatment group）, and 137 cases of acute DVT patients underwent limb dorsalis pedis intravenous thrombolysis treatment （control group）. The curative effect of two groups were compared. Results In treatment group, the therapeutic effect was satisfied, technical success rate was 100%, vascular diameter difference before and after treatment was statistically significant （t= 2.91, P〈0.01）, vascular patency rate was 90.79 % （69/76）, incidence of complications was 15.79%（12/76）. In control group, the vascular diameter difference was statistically significant （t = 2.21, P = 0.03）, vascular patency rate was 59.85% （82/137）, incidence of complications was 24. 82% （34/137）. Conclusion Using modified balloon thrombectomy technique treating DVT is a safe and effective method, and the curative effect is satisfied.