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目的通过对271例下肢深静脉血栓形成(DeepVenousThrombosis,DVT)病人的治疗和对其中8l例病人的随访,观察药物溶栓的近远期疗效特点。方法对1994年1月～2005年3月住院的271例(286侧)下肢DVT的诊治进行总结。结果全组病人药物溶栓治疗近期均取得比较满意的疗效。8l例获得随访(随访率29.9%),随访时间7～96个月,平均49个月。症状消失为19例(23.4%),肢体出现静脉曲张28例(34.6%),皮肤色素沉着24例(29.6%),溃疡9例(11.1%)。结论药物溶栓治疗DVT方法简便,疗效比较满意,创伤小。
Objective To observe the short-term and long-term efficacy of thrombolysis in 271 patients with deep venous thrombosis (DVT) and follow-up of 8l patients. Methods The diagnosis and treatment of DVT in 271 cases (286 sides) of lower extremities hospitalized from January 1994 to March 2005 were summarized. Results All patients received thrombolytic therapy recently achieved satisfactory results. 8l cases were followed up (follow-up rate was 29.9%), followed up for 7 to 96 months, an average of 49 months. Symptoms disappeared in 19 cases (23.4%), varicose veins in 28 cases (34.6%), skin pigmentation in 24 cases (29.6%) and ulcers in 9 cases (11.1%). Conclusion The drug thrombolytic therapy of DVT is simple, the curative effect is satisfactory and the trauma is small.