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目的分析混合型下肢深静脉血栓(LEDVT)综合介入治疗的治疗对策和患者并发症的发生情况。方法选取在2009年1月至2014年1月在济源人民医院确诊为混合型下肢深静脉血栓(LEDVT)并进行综合治疗的患者120例,所有患者先行下腔静脉滤器植入,再行机械性血栓碎吸、导管溶栓、抗凝等治疗,比较患者的并发症发生情况和治疗后的生活质量。结果所有经过治疗后的患者肺栓塞的发生率(35.83%)明显高于血管损伤的发生率(3.33%)、异常出血的发生率(4.17%)、血栓后综合征的发生率(5.83%)、静脉再堵塞的发生率(5.00%),组间比较差异有统计学意义(P<0.05);患者治疗后生活质量的良好率(86.67%)明显高于治疗前生活质量的良好率(43.33%),差异有统计学意义(P<0.05)。结论为提高混合型下肢深静脉血栓(LEDVT)综合介入治疗的治疗效果和患者治疗后的生活质量,要做到采取措施预防,减少并发症的发生。
Objective To analyze the treatment strategies and complications of combined interventional therapy of mixed lower extremity deep venous thrombosis (LEDVT). Methods From January 2009 to January 2014 in Jiyuan People’s Hospital diagnosed as mixed type lower extremity deep venous thrombosis (LEDVT) and comprehensive treatment of 120 patients, all patients with inferior vena cava filter implantation, and then the mechanical Thrombosis suction, catheter thrombolysis, anticoagulation and other treatment, comparisons of patients with complications and quality of life after treatment. Results The incidence of pulmonary embolism (35.83%) in all patients after treatment was significantly higher than that of vascular injury (3.33%), abnormal bleeding (4.17%) and post thrombosis syndrome (5.83%), (P <0.05). The good rate of quality of life (86.67%) after treatment was significantly higher than that before treatment (43.33%), the incidence of venous reocclusion (5.00%) was statistically significant %), The difference was statistically significant (P <0.05). Conclusion To improve the therapeutic effect of combined interventional treatment of mixed lower extremity deep venous thrombosis (LEDVT) and the quality of life after treatment, we should take measures to prevent and reduce the incidence of complications.