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Interventional thrombolysis for acute deep venous thrombosis in lower limbs<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
Xu Jian-rong, Zou Ai-hua, Yang Zhi-hui, Chi Jia-chang, Shen Jia-lin, Zhou Wei, Yao Qiu-ying, Ying Yi-ping.
Radiiologic Department, Renji Hospital, Shanghai Second University, Shanghai, 200001, China
ABSTRACT
Objective: To discuss the value of interventional thrombolysis for acute deep venous thrombosis in lower limbs.
Methods：33 cases with acute deep venous thrombosis in lower limbs were investigated. all cases were inserted inferior vena cava filters, from which 30 cases were treated using catheter-directed thrombolysis (15 cases via popliteal vein puncture, 9 cases via femoral vein, 6 case via large sophenous vein)and 3 casee were treated by systemic thrombolysis.
Results：Clinic follow-up indicated that all cases with acute deep venous thrombosis obtained obvious improvement of their clinic symptoms. Interventional thrombolysis by popliteal vein puncture was more effective(P<0.05) than others.
Conclusions：Interventional thrombolysis via popliteal vein puncture is most effective method among the various interventional ways.
Key words：Thrombosis, Radiology, Interventional, Vein in lower limber, Thrombolysis
急性下肢深静脉血栓形成（Deep Venous Thrombosis, DVT）为临床常见疾病，目前对DVT的治疗方法尚未取得统一意见[1]。为此，目前临床仍采用全身系统性溶栓治疗方法，其疗效欠佳，且易发生各种不良反应和并发症。本文对33例DVT患者经各种途径进行溶栓治疗，取得一定疗效，现总结报告如下。 |
