论文部分内容阅读
目的探讨贯穿导丝在深静脉血栓后遗症中的应用效果。方法 78例下肢深静脉血栓后遗症患者均在导丝贯穿法行下腔静脉和髂股静脉成形术治疗,观察其治疗效果。结果 78例患者均在导丝贯穿法引导下行下腔静脉及髂股静脉成形术,手术顺利,成功率为100%。所有患者围手术期给予低分子肝素抗凝,后给予华法林口服,国际化标准比值控制于2~3,维持口服2年,坚持穿弹力袜行快速行走或慢跑运动。5年随访无一例出现再次血栓阻塞,仅1例患者因下肢动脉狭窄而出现行走时疼痛。结论导丝贯穿法行下腔静脉和髂股静脉成形术成功率高,术后效果确切,值得在临床中推广应用。
Objective To investigate the effect of penetrating guidewire in the sequelae of deep vein thrombosis. Methods Seventy-eight patients with deep venous thrombosis of lower extremity were treated with guidewire through inferior vena cava and iliac vein graft, and the therapeutic effect was observed. Results All the 78 patients underwent guidewire through inferior vena cava and iliofemoral vein angioplasty. The operation was successful and the success rate was 100%. All patients underwent perioperative low molecular weight heparin anticoagulation, given oral warfarin, the international standard ratio of 2 to 3, to maintain oral for 2 years, adhere to wear elastic stockings fast walking or jogging exercise. None of the 5-year follow-up had another episode of thrombus occlusion, and only 1 patient had pain when walking due to lower extremity arterial stenosis. Conclusion The guide wire through the line of inferior vena cava and iliofemoral vein angioplasty high success rate, postoperative effect is exact, it is worth in the clinical application.