通过皮肤切除机械血栓在急性下肢深静脉血栓症的有效性
Jun-Qiang Xue1, Ping Yin2, Jian-Ping He1
1Department of Vascular Surgery, Shijiazhuang People's Hospital, Shijiazhuang 050011, Hebei Province, China.
World journal of clinical cases
|July 29, 2024
概括
穿皮机械血栓切除术 (PMT) 为急性下肢深静脉血栓瘤 (LEDVT) 治疗提供了一个有希望的替代方案. 与导管血栓溶解 (CDT) 相比,这种方法表明并发症减少和住院时间缩短.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 血栓形成的管理
背景情况:
- 急性下肢深静脉血栓症 (LEDVT) 具有重大风险,包括血栓后综合征 (PTS) 和肺栓塞.
- 传统的治疗方法,如导管血栓溶解 (CDT),在疗效和并发症率方面存在局限性.
研究的目的:
- 评估皮机械血栓切除术 (PMT) 对治疗急性LEDVT的有效性.
- 在急性LEDVT患者中,将PMT结果与传统CDT进行比较.
主要方法:
- 在2019年8月至2022年8月期间治疗的58名急性LEDVT患者的回顾性分析.
- 患者被分为两组:穿皮机械血栓切除术 (PMT,n=24) 和导管导向血栓溶解 (CDT,n=32).
- 评估的结果包括静脉通透性,血栓移除,并发症率,住院时间和PTS发生率.
主要成果:
- 无论是PMT还是CDT都实现了100%的血栓清除.
- 与CDT组 (34.84%) 相比,PMT组的并发症率明显较低 (8.33%) (P < 0.05).
- PMT导致平均住院时间缩短 (6.54天而不是8.14天),并趋向于降低PTS发病率.
结论:
- 穿皮机械血栓切除术 (PMT) 在治疗急性下肢深静脉血栓瘤 (LEDVT) 与导管导向血栓溶解 (CDT) 相比,显示出优异的结果.
- PMT与减少并发症,更短的住院时间和潜在的更好的PTS预防有关.
- 这些发现表明,PMT是急性LEDVT的有益和有效的治疗选择.
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