急性下肢深静脉血栓的血栓清除治疗——CDT还是PMT

Thrombosis clearance therapy for acute lower limb venous thrombosis——CDT or PMT

急性下肢深静脉血栓(deep venous thrombosis,DVT)是常见的血管外科疾病,抗凝治疗是首选治疗方法。单纯抗凝治疗,可能会因为血栓持续存在于静脉内,导致血栓后综合症,严重影响患者的远期生活质量。血栓清除治疗包括经皮机械取栓和经导管溶栓2种主要方法。本文通过分析血栓清除治疗急性下肢DVT的指征、方法选择、治疗优势、不同方法的结果差异和潜在风险,希望能够提供更全面的信息,以利于临床医生的工作开展。

Acute lower limb deep venous thrombosis （DVT） is common seen for vascular physicians. Till now, anticoagulation therapy is still first line treatment. However, due to residue thrombosis in vessel lumen within anticoagulation treatment duration, post thrombosis syndrome is not less seen, and is hazard to patients＇ quality of life. Percutenous mechanic thrombectomy and catheter directed thrombolysis are both thrombosis clearance therapy, and are both common used in real word. In this article, authors analysis indication, method choosing, advantage, different result within different tragedy and risk of percutenous mechanic thrombectomy and catheter directed thrombolysis. It maybe is benefit to further clinic work.