急性下肢深静脉血栓形成的 诊治

Diagnosis and management of acute deep vein thrombosis of lower extremity

摘要:

目的：探讨急性下肢深静脉血栓形成（DVT）的诊治。方法：回顾性分析96例DVT患者的临床资料。结果：彩色血管多普勒超声检查的正确率为97.8%, 空气容积描记MVO/SVC值结合曲线诊断正确率为97.2%, ECT为100%。手术+药物治疗组MVO/SVC值及大小腿周经术后1周与非手术组比较，差异有显著性意义（P<0.01）。治愈62例（64.6%），好转25例（26.0%），无效3例（3.1%），自动出院6例（6.3%）。结论：彩色血管多普勒超声是DVT首选的无创诊断方法,空气容积描记对DVT的诊断和疗效评价是一种客观有效的无创性检测方法，尽早手术取栓加溶栓抗凝综合治疗效果满意。

Abstract:

Objective:To explore the diagnosis and management of acute deep vein thrombosis(DVT) of lower extremity. Methods: The clinical data of 96 patients with DVT were analysed retrospectively. Results:The diagnosis rate of DVT by vascular color ultrasounography was 97.8%, by MVC/SVO ratio combined with air plethysmagraphy was 97.2%, and by ECT was 100%. The MVO/SVC ratio, and diameter of calf and thigh in surgery group and in non surgery group showed significant difference in 7 days after operation (P<0.01). In this series, the effect was excellent in 62 cases(64.6%), good in 25 cases (26.0%), bad in 3 cases (3.1%), and discharged oneself in 6(6.3%). Conclusions: Vascular color ultrasounography is the first choice of noninvasive examination . The air plethysmography is a objective, effective and noninvasive technique in the diagnosis and evaluation of treatment effect of DVT. Early embolectomy combined with thrombolytic and anticoagulant therapy can get good effect.