高频超声引导下经胭静脉穿刺置管溶栓治疗下肢深静脉血栓.pdf

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1、中国介入影像与治疗学2013年第1O卷第3期ChinJIntervImagingTher，2013，Vol10，No3·129·临床研究Highfrequencyultrasound-。guidedcatheter-directedthrombolysisforlowerextremitydeepvenousthrombosisviathepoplitealveinXIE一nong，Jiang—xiu，LUOXi—tu，LIYue—wei，LIANGWei—xiang(1．DepartmentofMedicalUltrasoud，2．GeneralSurgery，theThirdAf

2、filiatedHospitalofGuangzhouMedicalUniversity，Guangzhou510150，China)~Abstract]ObjectiveToexploretheapplicationvalueoftranspoplitealveincatheter-directedthrombolysisinpatientswithlowerextremitydeepvenousthrombosis(DVT)．MethodsTotally36patientswithlowerextremityDVTdiagnosedbyCDFIordeepvenousangiog

3、raphywereenrolled．Patientsinobservationgroupweretreatedbycatheter-directedthrom—bolysiswithcontinuousinfusionofurokinaseafterpoplitealvenouspunctureunderultrasoundguidance，whileinthecon—trolgroupweretreatedbythrombolysistherapyWithurokinaseviaperipheralvein．Theefficacyofthetwomethodswerecompare

4、d．ResultsLimbswellingintheobservationgroup(n一16)begantodeclinethe2nddayoftreatment，andobvi—ouslyreducedfromthe4thto6thday．Intheobservationgroup，3caseswerecured，11weremarkedlyeffective，2wereeffective，andtheoverallefficiencywas100(16／16)．Inthecontrolgroup(一20)，limbswellingbegantodeclinefrom2ndto4

5、thday，andobviouslydecreasedfromthe7thtothe9thday．Therewere8casesofmarkedlyeffective，6effective，6ineffective，andtheoverallefficiencywas70．O0(14／20)ofcontrolgroup．Therewasstatisticaldifferencebetweenthetwogroups(Z一3．270，P一0．002)．Thedegreeofextremityswellingalleviatedintheobservationgroupwassignif

6、icantlylargerthanincontrolgroupbeforeandafterthrombolysis．Thedifferencesofthighandcalfcircumferencewerestatisticallysignificant(bothP<0．01)．ConclusionHighfrequencyultrasound—guidedcatheter—directedthrombolysisforlowerex—tremityDVTissafeandeffective，withminimalinvasionandfewercomplications．[Keyw

7、ords~Ultrasonography；Highfrequencyultrasound-guidance；Thrombosis；Poplitealvein；Catheters，indwelling高频超声引导下经胭静脉穿刺置管溶栓治疗下肢深静脉血栓谢亦农，余江秀，骆曦图，黎月薇，梁伟翔(1．广州医学院第三附属医院医学超声科，2．普外科，广东广州510150)[摘要]目的探讨经胭静脉穿刺置管直接溶栓治疗下肢深静脉血栓(DVT)的应用价值。方法收集经CDFI