中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (12): 1019-1022.

• 专题笔谈 • 上一篇    下一篇

急性髂股静脉血栓形成时腔内治疗技术的选用与评价

陈    忠   

  1. 首都医科大学附属北京安贞医院血管外科，北京100029
  • 出版日期:2010-12-01 发布日期:2010-11-25

  • Online:2010-12-01 Published:2010-11-25

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摘要：

急性髂股静脉血栓形成（AIFVT）是常见的静脉血栓栓塞性疾病，易并发致命性肺栓塞（PE）。近年来导管溶栓的应用不断增加,但不推荐常规应用。当溶栓治疗不满意或者使用溶栓治疗受到限制时，可采用抽栓导管负压抽吸血栓。超声消融不能作为深静脉血栓形成的单一治疗手段，多联合手术取栓及球囊扩张、支架植入术。AIFVT治疗的关键是早期诊断、早期治疗。

关键词: 急性髂股静脉血栓形成, 肺栓塞, 腔内治疗

Abstract:

Evaluation of transluminal therapy in acute iliofemoral venous thrombosis        CHEN Zhong. Department of Vascular Surgery, Beijing Anzhen Hospital ,Capital University of Medical Science, Beijing 100029, China
Abstract    Acute iliofemoral venous thrombosis (AIFVT)  is a common disease in venous thromboembolism. In recent years, the application of catheter-directed thrombolysis was increasing,but not recommended routine applications. when treatment of catheter-directed thrombolysis was not satisfied or limited, can adopt thrombus extraction. Ultrasonic ablation was not single treatment of deep venous thrombosis, it must joint thrombectomy, balloon angioplasty  and peri-operative. The key  of AIFVT treatment was the early diagnosis and early treatment.

Key words: acute iliofemoral venous thrombosis;pulmonary embolism, transluminal therapy