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目的:观察下肢深静脉血栓形成手术取栓和药物溶栓治疗的疗效。方法:对42例下肢深静脉血栓形成患者的治疗方法进行回顾性分析,其中18例采用Fogarty导管取栓,24例采用药物溶栓治疗。结果:36例患者得到随访,随访率为85.7%,随访时间7~36个月,平均18个月;其中16例为手术取栓,20例为药物溶栓,取栓组8例临床症状消失,占50.0%,高于溶栓组3例(15.0%),2组比较差异有统计学意义(P<0.05)。结论:手术取栓可降低下肢深静脉血栓形成后遗症的发生率。
Objective: To observe the curative effect of thrombectomy and thrombolysis in deep venous thrombosis of lower extremities. Methods: Forty-two patients with deep venous thrombosis of lower extremity were retrospectively analyzed. Among them, 18 were treated with Fogarty catheterization and 24 were treated with drug thrombolysis. Results: Thirty-six patients were followed up with a follow-up rate of 85.7%. The follow-up time ranged from 7 to 36 months (average 18 months). Among them, 16 were thrombectomy and 20 were thrombolytic drugs. , Accounting for 50.0%, higher than that in thrombolytic group (15.0%). The difference between the two groups was statistically significant (P <0.05). Conclusion: Surgical thrombectomy can reduce the incidence of sequelae of deep venous thrombosis of lower extremities.