作　　者： (景阳）; (丁萌）; (付久园）; (肖艳平）; (陈向华）; (张青云）;

机构地区： 承德医学院附属医院,河北承德067000

出　　处： 《河北医学》 2017年第8期1316-1319,共4页

摘　　要： 目的:观察介入置管溶栓联合抗凝与单纯抗凝治疗产后合并下肢静脉血栓(DVT)的治疗效果。方法:将2006年1月至2016年2月34例产后合并中央型或混合型下肢深静脉血栓患者分为单纯抗凝组和介入治疗组,其中单纯抗凝组23例,介入治疗组11例,比较两组患者临床治疗效果和随访6~14个月后深静脉血栓形成后综合征(PTS)的发生率。结果:两组治疗前后大腿、小腿周径差值差异具有统计学意义(P<0.05);治疗后与单纯抗凝组比较,介入治疗组大腿、小腿周径差值差异具有统计学意义(P<0.05)。随访中与单纯抗凝组比较,介入治疗组Villalta评分及各等级例数分布差异具有统计学意义(P<0.05)。结论:介入置管溶栓联合抗凝治疗产后合并下肢深静脉血栓疗效优于单纯抗凝治疗,值得临床推广。 Objective： Objective： To observe the therapeutic effect of interventional catheter thrombolysis combined with anticoagulation therapy and simple anticoagulant therapy for postpartum lower extremity deep venous thrombosis（ DVT）. Methods： 34 cases of postpartum with central type or mixed type lower extremity deep venous thrombosis were collected in our hospital from January 2006 to February 2016,divided into anticoagulation group and intervention treatment group,the anticoagulation group 23 cases,intervention treatment group 11 cases. The clinical therapeutic effect and the incidence of PTS with 6 to 14 months follow-up of the two groups were compared. Results： There was significance statistical between the two groups about the difference of thigh and calf circumference before and after treatment（ P〈0.05）; After treatment,compared with anticoagulation group,there was significance statistical between thigh circumference and calf circumference in the intervention group（ P〈0. 05）. During the follow-up period,compared with the simple anticoagulation group,the Villalta score and the distribution of patients class number in the intervention group the difference were statistically significant（ P〈0. 05）. Conclusion： The therapeutic effects of interventional catheter thrombolysis combined with anticoagulant therapy is better than simple anticoagulant therapy in the treatment of postpartum deep vein thrombosis,Worthy of clinical promotion.

关 键 词： 产后 下肢深静脉血栓 下腔静脉滤器 置管溶栓 抗凝