微创腔内治疗急性下肢深静脉血栓和髂静脉严重狭窄及闭塞

Minimally Invasive Endovenous Therapy for Acute Deep Venous Thrombosis and Severe Iliac Vein Stenosis and Occlusion of Lower Extremities

目的分析评价微创腔内治疗急性下肢深静脉血栓和髂静脉严重狭窄及闭塞的临床疗效。方法本次将我院于2018年1月至2019年1月收治的下肢深静脉血栓和髂静脉严重狭窄及闭塞60例患者作为研究的对象。患者均接受微创腔内治疗。分析、评价患者的临床治疗效果。结果①本次100例患者,经积极治疗,治愈47例(78.33%)、显效7例(11.67%)、有效4例(6.67%)、无效2例(3.33%),总有效率为96.67%。②治疗后与治疗前比较,在患肢膝上15 cm处周径、患肢膝下15 cm处周径、健及患肢膝上15 cm处周径差、健及患肢膝下15 cm处周径差方面,均明显更低,治疗前后数据比较有显著统计学差异(P<0.05)。③本次60例患者,治疗期间发生牙龈出血2例、轻度皮下淤血2例、鼻出血1例,并发症发生率为8.33%,均经对症处理完全缓解;此外,无其他严重并发症发生。结论微创腔内治疗急性下肢深静脉血栓和髂静脉严重狭窄及闭塞的疗效显著,并发症低,安全高效。

Objective To evaluate the clinical efficacy of minimally invasive endovenous therapy for acute deep venous thrombosis and severe iliac vein stenosis and occlusion in lower extremities.Methods Sixty patients with lower extremity deep venous thrombosis and severe iliac vein stenosis and occlusion were treated in our hospital from January 2018 to January 2019.All patients received minimally invasive intracavitary treatment.Analyze and evaluate the clinical treatment effect of patients.Results(1)After active treatment,47 cases(78.33%)were cured,7 cases(11.67%)were markedly effective,4 cases(6.67%)were effective and 2 cases(3.33%)were ineffective.The total effective rate was 97.00%.(2)After treatment,the circumference of 15 cm above the knee of affected limb,15 cm below the knee of affected limb,the circumference difference of 15 cm above the knee of healthy limb and affected limb,and the circumference difference of 15 cm below the knee of healthy limb and affected limb were significantly lower than before treatment,and the data before and after treatment were significantly different(P<0.05).(3)During the treatment period,there were 2 cases of gum bleeding,2 cases of mild subcutaneous congestion and 1 case of nosebleed.The incidence of complications was 8.33%.All patients were completely relieved by symptomatic treatment.In addition,no other serious complications occurred.Conclusion Minimally invasive endovenous therapy for acute deep venous thrombosis and severe iliac vein stenosis and occlusion of lower extremity is effective,safe and effective.