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中国临床研究:2025,38(2):173-177
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下肢深静脉血栓的介入机械性取栓研究进展
(1. 南京中医药大学附属医院 江苏省中医院介入科,江苏 南京 210029;2. 南通大学杏林学院附属南京江北医院介入医学科,江苏 南京 210048)
Advances in interventional mechanical thrombus extraction in lower extremity deep vein thrombosis
摘要
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投稿时间:2024-11-13   网络发布日期:2025-02-20
中文摘要: 深静脉血栓形成(DVT)是指血液在深静脉内异常凝结,常见于下肢。DVT的形成机制主要涉及静脉血流减缓、血液高凝状态和血管内皮损伤。常见风险因素包括长时间卧床、手术后恢复、恶性肿瘤、妊娠期、遗传性血栓倾向及某些药物的使用。DVT的最严重并发症是肺动脉栓塞(PE)。此外,DVT可导致慢性并发症如血栓后综合征。对于特定高危患者,可考虑溶栓治疗或置入下腔静脉滤器以预防PE。随着医疗技术的不断进步,机械性血栓清除装置作为一种新型治疗手段,逐渐在临床中得到广泛应用,为清除静脉血栓提供了一种微创且有效的方法。本文将通过各种装置原理、治疗优势、临床应用效果综述深静脉机械性取栓技术应用在临床的最新进展。
Abstract:Deep vein thrombosis (DVT) refers to the abnormal clotting of blood within deep veins, predominantly in the lower extremities. Its formation is primarily attributed to three key factors: venous stasis, a hypercoagulable state, and endothelial injury. Common risk factors include prolonged immobilization, post-surgical recovery, malignant tumor, pregnancy, hereditary thrombophilia and certain medications. The most significant complication of DVT is pulmonary embolism (PE), while chronic complications such as post-thrombotic syndrome (PTS) can also occur. In high-risk patients, thrombolytic therapy or inferior vena cava filters may be used to prevent PE. Advances in medical technology have led to the widespread use of percutaneous mechanical thrombectomy (PMT) devices, which provide a minimally invasive and effective method for removing venous thrombi. This article reviews recent developments in the clinical application of deep vein mechanical thrombus removal technologies, with a focus on the principles, therapeutic benefits, and clinical outcomes of various devices.
文章编号:     中图分类号:R543.6    文献标志码:A
基金项目:江苏省卫生健康委员会科研项目(BJ14012);江苏省中医院人才引进项目(kgr0259);皖南医学院科研项目(JXYY202133)
附件
引用文本:
朱迪,马坤,周涛,等.下肢深静脉血栓的介入机械性取栓研究进展[J].中国临床研究,2025,38(2):173-177.

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