【摘要】：目的探討經(jīng)脛前靜脈途徑多介入模式聯(lián)合治療急性下肢深靜脈血栓(DVT)的療效。方法回顧性分析10例急性DVT患者臨床及影像學(xué)資料,并復(fù)習(xí)相關(guān)文獻(xiàn),分析其介入治療過(guò)程。結(jié)果 10例DVT患者均在臨時(shí)性下腔靜脈濾器保護(hù)下同期行機(jī)械血栓清除,7例血栓清除率達(dá)Ⅲ級(jí),3例達(dá)Ⅱ級(jí)。7例行狹窄髂靜脈成形治療,5例同期行濾器取出,其余4例行二期行濾器取出,1例放棄濾器取出。術(shù)后患肢腫脹明顯緩解,無(wú)手術(shù)相關(guān)并發(fā)癥發(fā)生。住院時(shí)間4~7天,平均(6.00±0.94)天�；颊唠S訪(fǎng)時(shí)間1~6個(gè)月,平均(3.60±1.84)個(gè)月,隨訪(fǎng)期內(nèi)無(wú)病變血管管腔血栓復(fù)發(fā)。結(jié)論經(jīng)脛前靜脈途徑治療急性DVT操作簡(jiǎn)便、安全、有效,聯(lián)合機(jī)械血栓清除裝置可快速減輕血栓負(fù)荷,同期予以狹窄血管球囊或支架成形術(shù)可鞏固治療效果,縮短總治療時(shí)間。
[Abstract]:Objective to evaluate the efficacy of multiple interventional modes via anterior tibial vein in the treatment of acute deep venous thrombosis (DVT) of lower extremities. Methods the clinical and imaging data of 10 patients with acute DVT were retrospectively analyzed. Results all 10 patients with DVT underwent mechanical thrombectomy under the protection of temporary inferior vena cava filter at the same time. The thrombus clearance rate reached grade 鈪，

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