关键词: 下肢深静脉血栓形成, 血栓后综合征, 导管溶栓, cockett综合征

Abstract: ［Abstract］ Objective To investigate the feasibility and efficacy of catheter?directed thrombolysis （CDT） in treatment for deep venous thrombosis （DVT） of lower limbs. Methods The clinical data of 38 patients with acute DVT from June 2010 to January 2014 in the First Peoples′ Hospital of Foshan were analyzed retrospectively. All patients were treated with CDT. Then， thrombolysis and intermittent compression therpy were performed again. Limb circumference difference between preoperative and postoperative， complications of thrombolysis and post?thrombotic syndrome （PTS） were compared between before and after treatment. Result All patients undergo thrombolysis were cured or improved. The circumference difference 10 cm below patella between bilateral limbs was reduced from （3.74±0.94）cm to （1.85±0.76）cm. The circumference difference 10 cm above patella between bilateral limbs was reduced from （7.31±0.91） cm to （4.35±1.28） cm. The duratioins of follow?ups for （18±9.3） months and the follow up rate was 100%. The PTS was diagnosed in 10 patients followed. Conclusion Using two catheter?directed thrombolysis combined with intermittent compression therapy has a definite curative effect on DVT of low extremities and the incidence of PTS was low.

Key words: deep venous thrombosis, catheter?directed thrombolysis, post.thrombotic syndrome, cockett