中国实用外科杂志
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吴丹明,张立魁
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静脉血栓形成后综合征(PTS)是一种常见的影响病人生活质量的深静脉血栓后遗症。对于下肢深静脉血栓形成病人,为了预防PTS的发生,应迅速有效地清除血栓、解除静脉阻塞、保护瓣膜功能、减少静脉反流。目前,血栓清除的方法包括切开取栓、系统溶栓、导管溶栓、机械性血栓清除等。治疗方式的选择应个体化,针对不同情况,选择最适合的腔内技术来清除血栓,安全有效地达到最佳临床期望,是预防PTS发生的关键。
关键词: 静脉血栓形成后综合征, 下肢深静脉血栓, 血管腔内治疗
Abstract:
Development status and prospect of thrombus removal technology WU Dan-ming,ZHANG Li-kui. Department of Vascular Surgery, the People’s Hospital of Liaoning Province, Shenyang 110016,China Corresponding author:WU Dan-ming,E-mail:danming_w@126.com Abstract Post-thrombotic syndrome (PTS) is a serious complication affecting the quality of life of patients with venous thrombosis. In order to prevent the occurrence of PTS, removing thrombus rapidly and effectively, relieving venous obstruction, protecting valve function, reducing venous reflux have become the main principles of treating deep venous thrombosis patients. At present, there are many methods of thrombus removal, including thrombectomy, system thrombolysis, catheter directed thrombolysis, mechanical thrombectomy, and so on. The choice of treatment need to be individualized, considering different circumstances, choosing the most appropriate endovascluar technology to remove thrombus, then reaching best clinical expectations safely and effectively, which is the key point to preventing the occurrence of PTS.
Key words: post-thrombotic syndrome, deep vein thrombosis, endovascular therapy
吴丹明,张立魁. 血栓清除技术发展现状及展望[J]. 中国实用外科杂志, DOI: 10.19538/j.cjps.issn1005-2208.2017.12.12.
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https://www.zgsyz.com/zgsywk/CN/Y2017/V37/I12/1361