| 摘要: |
| 目的:观察中医治疗联合介入手术治疗下肢深静脉血栓形成后综合征的临床疗效。方法:回顾性分析2016 年1月—2019 年1 月我院收治的下肢深静脉血栓形成后综合征患者60 例，其中治疗组30 例患者应用中医治疗+ 介入手术，对照组30 例应用非中医治疗+ 介入手术。结果:术后3 个月，治疗组患者创面痊愈率为86.7%，大于对照组的60%，差异有统计学意义(P <0.05)，治疗组总有效率为96.7%，与对照组的90% 差异无统计学意义(P >0.05)。治疗组患者在治疗后3、12 个月的Villalta 评分均低于对照组(P <0.05) ；治疗组3 个月时血管通畅率为93.3%，与对照组的90% 差异无统计学意义(P >0.05)，治疗组12 个月的血管通畅率为80%，优于对照组的55.2%，差异有统计学意义(P <0.05)。治疗组的创面愈合时间为40(15)天，明显短于对照组的55(35)天，差异有统计学意义(χ2=7.215，P =0.007)。结论:中医治疗联合介入手术治疗下肢深静脉血栓形成后综合征安全有效。 |
| 关键词: 下肢深静脉血栓形成后综合征 介入治疗 中医 臁疮 |
| DOI：10.3969/j.issn.1007-6948.2020.06.010 |
| 投稿时间：2020-03-27 |
| 基金项目: |
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| Study on Effectiveness of Traditional Chinese Medicine Treatments Combined with Interventional Operation in Treatment of Post-thrombotic Syndrome of Lower Extremity |
| LIU Zhen-bin,WANG Gang,LI Meng-hu |
| Department of Ulcer and Vascular Surgery, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China |
| Abstract: |
| Objective To evaluate the efficacy of traditional Chinesemedicine treatments combined withinterventional operationin treatment ofpost-thrombotic syndrome of lower extremity. Methods Retrospective analysis of 60 cases patients with post-thrombotic syndromeof lower extremity in ourhospital from January 2016 to January 2019 who were treated withinterventional operationsuccessfully.60 patients were divided into control group (30 cases) and treatment group (30 cases). After operation,patients in treatment group additionally were treated with traditional Chinesemedicine treatments,while patients in control group were not given traditional Chinese medicine treatments. Results The healing rate was 86.7% in treatment group, which was higher than 60% in the control group (P <0.05). The total effective rate was 96.7% in treatment group, which was higher than 90% in the control group (P >0.05). Rate of vascular patency rate was 93.3% in the treatment group, which was higher than 90% in the control group(P >0.05) at 3 month,and 80% in the treatment group,which was higher than55.2% in the control group(P <0.05) at 12 month. Scores of Villalta in the treatment group were lowerthan those in the control group at 3months (P >0.05)and lower at12months(P <0.05). Conclusion Traditional Chinese medicine treatments combined with interventional operationis was effective and safe for the treatment ofpost-thrombotic syndrome of lower limb. |
| Key words: Post-thrombotic syndrome interventional operation traditional Chinese medicine treatments ecthyma |
