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目的探讨手术取栓、药物溶栓治疗急性髂股型下肢深静脉血栓形成的缶床应用效果。方法手术组急性髂股型下肢深静脉血栓形成患者接受手术取栓治疗,药物组急性髂股型下肢深静脉血栓形成患者接受药物溶栓治。结果两组临床总有效率(分别为91.49%、82.98%)对比差异无统计学意义(P>0.05),但手术组痊愈率(44.68%)显著高于药物组(14.89%)(P<0.05)。手术组水肿、静脉溃疡、色素沉着等不良反应发生率均显著低于药物组(P<0.05)。结论手术取栓治疗急性髂股型下肢深静脉血栓形成疗效、预后均较理想,临床医生应根据患者实际情况综合判断后选择合适的治疗方案。
Objective To investigate the clinical effects of surgical thrombectomy and thrombolytic therapy in the treatment of acute iliofemoral lower extremity deep vein thrombosis. Methods Acute iliofemoral lower extremity deep vein thrombosis patients underwent surgical thrombectomy in the surgical group. Patients in the drug group received intravenous drug thrombolysis for acute iliofemoral lower extremity deep vein thrombosis. Results The total effective rate (91.49%, 82.98% respectively) in the two groups had no significant difference (P> 0.05), but the cure rate in the operation group (44.68%) was significantly higher than that in the drug group (14.89%) ). The incidences of adverse reactions such as edema, venous ulcer and pigmentation in the operation group were significantly lower than those in the drug group (P <0.05). Conclusions Surgical thrombectomy treatment of acute iliofemoral lower extremity deep vein thrombosis efficacy, prognosis are more ideal, clinicians should be based on the actual situation of patients after comprehensive selection and select the appropriate treatment.