急性下肢深静脉血栓的手术治疗

Surgical treatment of acute deep vein thrombosis of lower extremity

目的 探讨急性下肢深静脉血栓外科手术治疗的效果。方法 3 6例急性下肢深静脉血栓患者均行股静脉切开取栓 ,配合肢体加压、溶栓、抗凝治疗。结果 全组未发生严重并发症 ,亦无手术死亡。出院随访 3 1例 ,随访期 2～ 2 0个月 (平均 9个月 )。症状完全消失 2 3例 ,肢体轻度肿胀 8例。结论 手术取栓配合肢体加压、溶栓、抗凝等治疗急性下肢深静脉血栓安全。

Objective To evaluate the effects of surgical treatment of acute deep vein thrombosis (DV T) of lower extremity. Methods Thirty-six patients with a cute DVT of lower extremity were treated by thrombectomy with thrombolytic,a nticoagulant and compression on the affected lower extremity during and after op eration. Results No death and serious complications happened i n this series. Thirty-one patients were followed-up for 2 to 20 months with a n average of 9 months. Symptoms disappeared totally in 23 patients , 8 patien ts had slight edema in the lower extremities. Conclusions Com bination of thrombectomy the thrombolytic and anticoagulant agent,and comp ression of the affected lower extremity is a safe and effective method in the t reatment of acute DVT of lower extremity.