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目的探讨经导管溶栓治疗下肢深静脉血栓的治疗效果。方法 60例下肢深静脉血栓患者,随机分为观察组和对照组,各30例。对照组给予常规抗凝治疗,观察组在常规抗凝治疗的基础上联合经导管溶栓治疗。比较两组治疗前后的下肢周径差和治疗效果。结果观察组大腿周径差为(6.9±1.9)cm、小腿周径差为(5.0±2.6)cm,明显大于对照组的(5.5±1.9)、(3.5±1.5)cm,差异具有统计学意义(P<0.05)。观察组总有效率为93.33%,高于对照组的60.00%,差异具有统计学意义(χ2=9.3168,P<0.05)。结论经导管溶栓治疗下肢深静脉血栓的治疗效果确切,能够有效地缓解下肢深静脉血栓的症状,值得临床广泛应用以及推广。
Objective To investigate the therapeutic effect of transcatheter thrombolysis for deep venous thrombosis of lower extremity. Methods Sixty patients with deep venous thrombosis of lower extremities were randomly divided into observation group and control group, with 30 cases in each. The control group was given conventional anticoagulant therapy. The observation group was treated with catheterization thrombolysis on the basis of conventional anticoagulation therapy. The difference of the lower limb circumference and the treatment effect between the two groups before and after treatment were compared. Results The difference in the thigh circumference was (6.9 ± 1.9) cm in the observation group and (5.0 ± 2.6) cm in the control group, which was significantly higher than that in the control group (5.5 ± 1.9) and (3.5 ± 1.5) cm, respectively (P <0.05). The total effective rate in the observation group was 93.33%, which was higher than that in the control group (60.00%), the difference was statistically significant (χ2 = 9.3168, P <0.05). Conclusions Transcatheter thrombolytic therapy for the treatment of deep venous thrombosis of the lower extremities is effective and can effectively alleviate the symptoms of lower extremity deep venous thrombosis. It is worth widely clinical application and promotion.