【摘 要】 目的: 探讨急性下肢深静脉血栓形成(DVT)的诊治。方法:回顾性分析96例DVT患者的临床资料。结果:彩色血管多普勒超声检查的正确率为97.8%,空气容积描记MVO/SVC值结合曲线诊断正确率为97.2%,ECT为100%。手术+药物治疗组MVO/SVC值及大小腿周经术后1周与非手术组比较,差异有显著性意义(P<0.01)。治愈62例(64.6%),好转25例(26.0%),无效3例(3.1%),自动出院6例(6.3%)。结论:彩色血管多普勒超声是DVT首选的无创诊断方法,空气容积描记对DVT的诊断和疗效评价是一种客观有效的无创性检测方法,尽早手术取栓加溶栓抗凝综合治疗效果满意。

    【关键词】 静脉血栓 治疗

    Diagnosis and Management ofVein Thrombosis 

    Wang Qi

    【Abstract】 Objective:To explore the diagnosis and management of acute deep vein thrombosis(DVT) oflower extremity. Methods The clinical data of 96 patients with DVT were analysed retrospectively.Results:The diagnosis rate of DVT by vascular color uhrasounography was 97.8%.combined with thrombolytic and anticoagulant therapy can get good effect.by MVC/SVO ratio combined with air lethysmagraphy was 97.2%.and by ECT was 100%.The MV0/SVC ratio.and diameter of calf and thigh in surgery group and in non surgery group showed significant difference in 7 days after operation(P<0.01).In this series,the effect was excellent in 62 cases(64.6%),good in 25 cases(26.0%),bad in 3 cases (3.1%). and discharged oneself in 6 (6.3%).Conclusions:Vascular color uhrasounography is the first choice of non-invasive examination.The air lethysmography is a objective,effe.ctive and non.invasive technique in the diagnosis and evaluation of treatment effect of DVT. Early embolectomy. ...... 婵″倹鐏夐幃銊ユ躬娴ｈ法鏁ら幍瀣簚缁涘绁︾憴鍫熸閺冪姵纭堕弻銉ф箙閹存牔绗呮潪钘夊弿閺傚浄绱濋崣顖濆厴閺勵垵顫﹂幖婊呭偍瀵洘鎼告径杈╂埂閳ユ粏娴嗛惍浣测偓婵撶礉鐠囬鍋ｉ崙璇茬潌楠炴洘娓舵稉瀣煙閻ㄥ嫧鈧粎鏁搁懘鎴犲閳ユ繃鍨ㄩ垾婊冨斧缂冩垿銆夐垾婵婎問闂傤喓鈧拷


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