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The surgical treatment of acute lower extremity deep vein thrombosis

LI Xiao qiang,WU Yun ming,YU Chao wen (Department of Vascular Surgery,Affiliated Hospital of Bengbu Medical College,Anhui 233004 ,China) [  
Objective:To evaluate the technic improvement and operation opportunity on the treatiment of the lower extremity deep vein thrombosis.Methods:Thirty three patients(all in left)were admitted.Femoral venous thombectomy performed in 33 cases;popliteal venous ascending thrombectomy in 17 cases;iliac venous thrombectomy in 8 cases.A full exploring of left common iliac vein at inferior vena caval bifurcation was performed in all cases.A localized obstruction or stenosis of left common iliac vein under the right common artery was detected in 30 cases and thombectomy combined with iliocaval grafting and adjuctive ateriovenous fistula was performed in 11 cases.Results:Swelling fadeaway in 3 days after operation in 27 cases,5~8 days in 4 cases and no significant improvement in 2 cases.Follow up in 30 cases,mean 18 months:post thrombosis syndrome occurs in 4 cases.Conclusions:The left iliac venous stenosis or obstruction is one of the essential factors contributing to DVT of left lower extremity.Prompt surgical treatment must deal with the lession.Ascending venous thrombectomy can relatively clear up thrombus in femoropopliteal segment and the operation opportunity is determined by thrombus age,outcome of venography as well as effect of anticoagulant and thrombolytic therapy. [
【CateGory Index】: R654.4
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