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目的:总结下肢深静脉血栓形成急性期的手术治疗经验。方法:将Fogarty取栓管的尾部剪去,由胫后静脉分支插入胫后静脉,从股静脉切口拉出,充起球囊,顺行取出深静脉的血栓,然后向上取出髂静脉血栓。结果:5例中有4例症状完全消失,经随访,无血栓形成后综合征症状出现。结论:顺行静脉取栓优于传统的取栓及溶栓方法。左髂总静脉的原发病变是左下肢深静脉血栓的一个重要原因,应同时手术处理。
Objective: To summarize the experience of surgical treatment of acute venous thrombosis of lower extremity. Methods: The tail of Fogarty embolectomy tube was cut off, and the posterior tibial vein was inserted into the posterior tibial vein through the branch of the posterior tibial vein. The balloon was pulled out from the femoral vein incision and the balloon was inflated. The thrombosis of the deep vein was removed in parallel and the iliac vein thrombosis was removed upward. Results: Four of the five patients completely disappeared. After follow-up, no signs of post-thrombotic syndrome occurred. Conclusion: Transcatheter arterial embolization is superior to traditional thrombolysis and thrombolysis methods. The primary lesion of the left common iliac vein is an important cause of deep venous thrombosis of the left lower extremity and should be treated simultaneously.