急性下肢深静脉血栓的手术治疗
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Surgical treatment of acute deep vein thrombosis of lower extremity
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    目的:探讨急性下肢深静脉血栓外科手术治疗的效果。方法:36例急性下肢深静脉血栓患者均行股静脉切开取栓,配合肢体加压、溶栓、抗凝治疗。结果:全组未发生严重并发症,亦无手术死亡。出院随访31例,随访期2~20个月(平均9个月)。症状完全消失23例,肢体轻度肿胀8例。结论:手术取栓配合肢体加压、溶栓、抗凝等治疗急性下肢深静脉血栓安全、疗效满意。

    Abstract:

    Objective: To evaluate the effects of surgical treatment of acute deep vein thrombosis (DVT) of lower extremity. Methods : Thirtysix patients with acute DVT of lower extremity were treated by thrombectomy with thrombolytic,anticoagulant and compression on the affected lower extremity during and after operation. Results :No death and serious complications happened in this series. Thirtyone patients were followedup for 2 to 20 months with an average of 9 months. Symptoms disappeared totally in 23 patients, 8 patients had slight edema in the lower extremities. Conclusions :Combination of thrombectomy the thrombolytic and anticoagulant agent,and compression of the affected lower extremity is a safe and effective method in the treatment of acute DVT of lower extremity.

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肖占祥,张震生,郑进方,吴昌雄,陈劲松,梁安林,吴奕强.急性下肢深静脉血栓的手术治疗[J].中国普通外科杂志,2004,13(1):2-5.
DOI:10.7659/j. issn.1005-6947.2004.01.002

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  • 在线发布日期: 2004-01-25