【摘要】

    目的 探讨下肢深静脉血栓(deep venous thrombosis,DVT)不同治疗方法的安全性、疗效。

    方法 确诊深静脉血栓患者40例，男16例，女24例；年龄27～81岁，70岁以上15例。左下肢35条，右下肢5条，患肢较健侧增粗2～7cm。病程多数在1～30天。常规抗凝溶栓治疗33例，介入治疗7例，放置下腔静脉滤器，病侧动静脉留置溶栓导管。

    结果 常规治疗组，3～5天患肢开始缩小。介入治疗组，2天后患肢明显缩小，3例导管留置处皮下血肿，腹部、大腿皮肤青紫明显。两组均抗凝溶栓3～10天。显效3例(均为介入治疗组3/7)，有效36例，死亡1例。

    结论 深静脉血栓溶栓抗凝治疗安全、有效，介入治疗更具优势。

    【关键词】 深静脉血栓；介入治疗；抗凝；溶栓

    Experience of treatment for lower limb deep venous thrombosis

    SHI Hong-jian,HUANG You-hua,XU Qiang,et al.Department of Interventional Radiology,Jiangsu University Affiliated Wujin Hospital,Changzhou 210032,China

    【Abstract】

    Objective To evaluate the safety and efficacy of different therapy method in treating deep venous thrombosis(DVT).

    Methods Forty clinical DVT patients were studied.Among them,33 cases were in the intravenous anticoagulation and thrombolysis therapy group,another 7 were in interventional therapy group,of which inferior vena cava filters were deployment and thrombolysis catheters were left in the affected limbs. ......