Analysis Of The Intervention Treatment Efficacy Of Cockett Syndrome With Lower Extremity Deep Vein Thrombosis

Objective:To analyse the clinical effects of the intervention treatment with or without elastic bandage and traditional treatment on Cockett syndrome with Lower extremity deep vein thrombosis,Take advantage of the opportunity to seek a safe,efficient treatment.Methods:The clinical datas of 66 patients(66 limbs),non-chronic left Cockett syndrome with left lower extremity deep vein thrombosis,collected in our department from May 2016 to November 2018,were retrospectively studied and divided into observation group and control group(C group,21 cases),the observation group was divided into A group(25 cases)and B group(20 cases).The treatment way of A group(25 cases)took the catheter directed thrombolysis combined with percutaneous transluminal angiography,inferior vena cava filter,sent implantation and elastic bandage.Except elastic bandage.the treatment way of B group(20 cases)was same as A group.The treatment way of C group(21 cases)was traditional treatment.Accoding to the manners,regular medical imaging,manual measurement and following up,to observe and record the conditions of the patients,degree of thrombus clearance,detumescenee and prognosis to analyse the clinical effects of the three treatments on non-chronic Cockett syndrome with lower extremity deep vein thrombosis.Results:After the treatment all the patients were followed up for 3～30months with a mean of(10,27±6.678)months.Time of the three groups therapy was from seven days to ten days,No pulmonary embolism occurred during treatment of the three groups.the A group(25 cases)all successeded in carrying out the catheter directed throlbolysis combined with percutaneous transluminal angiography,inferior vena cava filter,sent implantation and elastic bandage.The B group(20 cases)all successeded in carrying out the catheter directed thrombolysis combined with percutaneous transluminal angiography.inferior vena cava filter and sent implantation.The results showed that A group of the patients’ degree of thrombus clearance and detumescence was significantly better than the B group within the first three days,the difference had statistically significant(P<0.05)).However,there was no siglificant difference in thrombolytic efficiency and detumescence efficiency between group A and group B with the prolongation of treatment time.From the fourth day,in terms of detumescence of A group and B group,the difference was not statistically significant(P>0.05).According to compare the efficiency of the treatment,the patients,degree of thrombus clearance,detumescence incidence of related symptoms of thrombotic sequela and incidence of post-thrombotic syndrone A group or B group was better than C group.the difference had statistical significant(P<0.05),but,they were statistically significant between A and B(P>0.05).After intervention treatment,Patiente,in observation group,were improved obviously.The safeties of the three treatments had not statistical significant(P>0.05)Conclusion:1.The IVCF,CDT and PTA prepared sent implantation on non-chronic Cockett syndrome with LEDVT are more efficient and better prognosis than traditional treatment.2.The intervention treatment combined with elastic bandage on non-chronic Cockett syndrome with LEDVT can promote the curative effect of thrombus removal and detumescence in nearly 3 days,it is safe,effective and recommended in clinical practice.3.In the treatment of Cockett syndrole with LEDVT,IVCF may not be routine,but need fully anticoagulant,thrombus removal,strict professional care.