[1]张希全*,葛世堂.下肢深静脉血栓形成后综合征的介入治疗[J].中国微创外科杂志,2017,17(07):602-605.
　Zhang Xiquan,Ge Shitang..Interventional Treatment of Post-thrombosis Syndrome[J].Chinese Journal of Minimally Invasive Surgery,2017,17(07):602-605.
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下肢深静脉血栓形成后综合征的介入治疗 ()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年07期
页码:
602-605
栏目:
临床论著
出版日期:
2017-07-20

文章信息/Info

Title:
Interventional Treatment of Post-thrombosis Syndrome
作者:
张希全*; 葛世堂
解放军第148医院全军腔内介入诊疗中心，淄博255300
Author(s):
Zhang Xiquan;  Ge Shitang.
Endovascular Interventional Diagnosis and Treatment Center, No. 148 Hospital of Chinese People’s Liberation Army, Zibo 255300, China
关键词:
介入治疗; 下肢深静脉血栓形成后综合征; 支架
Keywords:
Interventional therapy; Post-thrombosis syndrome; Stent
文献标志码:
A
摘要:
目的探讨介入治疗下肢深静脉血栓形成后综合征的临床效果。方法2011年3月~2016 年1月我院对91例下肢深静脉血栓形成后综合征行介入治疗，俯卧位，以腘静脉为穿刺入路途径，建立工作导丝通道，然后行血管成形术或支架植入治疗。结果手术技术成功率98.9％（90/91），狭窄或闭塞血管开通成功，血流恢复通畅；1例左髂静脉未开通成功，但侧支循环丰富足以代偿。90例治疗成功者随访6～30个月，（18.5±2.3）月，术后3、12、24个月血管通畅率分别为933％(84/90)、81.3％(61/75)、71.4％(20/28)，无一例出现支架移位、溃疡复发。结论血管腔内介入治疗下肢深静脉血栓形成后综合征，技术成功率高，临床疗效确切，是安全、有效的方法。
Abstract:
ObjectiveTo investigate the clinical effect and value of interventional therapy for post-thrombosis syndrome (PTS).MethodsClinical data of 91 patients with PTS who had received interventional therapy were retrospectively analyzed. The patients were in prone position in surgery. We selected puncture approach of popliteal vein and established a working guidewire channel, and then performed balloon dilatation and stent placement.ResultsThe technical success rate was 98.9% (90/91), with complete recanalization of the stenosis or occluded vessel and restoration of the normal blood flow. There was 1 case of failure to traverse the left common iliac vein segment, but the collateral circulation was rich enough to compensate. The 90 patients were followed up for 6-30 months, with a mean of (18.5±2.3) months. The 6, 12, and 24-month patency rates were 93.3% (84/90), 81.3% (61/75), and 71.4%(20/28), respectively. No stent migration or ulcer recurrence occurred in the 90 patients during the follow-ups. ConclusionFor the treatment of PTS, endovascular treatment has high technical success rate. With satisfactory clinical effect, this therapy is safe and effective.

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备注/Memo

备注/Memo:
*通讯作者,E-mail:jrkzxq@163.com
更新日期/Last Update: 2017-09-21