杨文钦,李海蓉.超声影像在局部溶栓介入治疗下肢深静脉血栓的应用[J].中国医学影像技术,2009,25(S1):172~173
超声影像在局部溶栓介入治疗下肢深静脉血栓的应用
Application of ultrasonography in regional thrombolysis interventional therapy of lower extremity deep venous thrombosis
投稿时间:2009-03-31  修订日期:2009-05-10
DOI:
中文关键词:  深静脉血栓  彩超引导  尿激酶  溶栓  介入治疗
英文关键词:Deep venous thrombosis  Guidance of color Doppler ultrasound  Urokinase  Thrombolysis  Interventional therapy
基金项目:
作者单位E-mail
杨文钦 中国人民解放军第187中心医院特诊科,海南 海口 571159 yangwenqin@163.com 
李海蓉 中国人民解放军第187中心医院特诊科,海南 海口 571159  
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中文摘要:
      目的 探讨二维及彩超在下肢深静脉血栓形成患者中注射尿激酶局部溶栓介入治疗中的应用。 方法 对30例疑为下肢深静脉血栓形成患者行术前超声诊断及评估,确定进针部位及进针路线,引导穿刺,注射尿激酶局部溶栓,术后观察患肢深静脉血流情况。 结果 治疗后彩超检查,痊愈18例(60%),有效9例(35%),总有效率95%。3例效果不佳,术后血管血流依旧充盈不佳。 结论 彩超引导下注射尿激酶局部溶栓治疗下肢深静脉血栓是一种疗效明显、安全、经济实惠的治疗方法。
英文摘要:
      Objective To approach the application method of two-dimensional and color Doppler ultrasonography in local application of urokinase interventional therapy of deep vein thrombosis in the lower extremity. Methods Thirty patients doubted as deep venous thrombosis in the lower extremity under went ultrasonic diagnosis and follow-up evaluation before or after local application of urokinase interventional therapy, to decide the place and path of needling, guiding stab, inject urokinase regional thrombolysis, observe blood flow circulation of the affected extremity after treatment. Results observe by color Doppler ultrasonography after treatment, recovery cure was obtained in 18 patients (60%), effectiveness in 9 patients (35%), the total efficacy was 95%. Ineffective in 3 patients with poor-filled blood flow on color Doppler ultrasonography. Conclusion Local application of urokinase interventional therapy of deep vein thrombosis in the lower extremity under color Doppler ultrasound guidance an is effective, safe and economical method for treating lower extremity deep venous thrombosis.
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