经皮机械性血栓清除术的研究进展
Research Progress of Percutaneous Mechanical Thrombectomy
摘要: 即便经过抗凝治疗，仍有超过半数的下肢深静脉血栓形成(DVT)患者会罹患血栓后综合征(PTS)。因此，下肢DVT需要积极的血管内血栓清除治疗。目前的治疗方法有化学药物治疗、经皮机械性血栓清除术(PMT)、药物机械导管定向溶栓(PCDT)、手术取栓等。其中PMT可快速清除血栓、改善症状，近年来PMT在下肢DVT治疗中起到越来越重要的作用。随着介入技术的进展以及下肢DVT临床实践的积累，临床中使用的PMT发生了重大变化，本文就近年来PMT的现状和进展进行综述。
Abstract: Even with anticoagulant therapy, more than half of patients with lower extremity deep venous thrombosis (LEDVT) develop post-thrombosis syndrome (PTS). Therefore, appropriate endovascular thrombus removal therapy is essential for LEDVT. Current treatment modalities include pharmacologic therapy, percutaneous mechanical thrombectomy (PMT), pharmacomechanical catheter-directed thrombolysis (PCDT), and surgical thrombectomy. Among these, PMT enables rapid thrombus clearance and symptom improvement, playing an increasingly critical role in the management of DVT in recent years. With advancements in interventional techniques and the accumulation of clinical experience in treating lower extremity DVT, significant progress has been made in the clinical application of PMT. This article provides a comprehensive review of the current status and recent advancements in PMT.
文章引用：林美君, 黄文. 经皮机械性血栓清除术的研究进展[J]. 临床医学进展, 2025, 15(11): 2074-2082. https://doi.org/10.12677/acm.2025.15113321

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