Surgical treatment of deep vein thrombosis of lower extremity

Objective: To summarize the experience of surgical treatment for patients with deep vein thrombosis(DVT) of the lower extremity.Methods: Thirty-two patients with DVT were diagnosed by ascending lower extremity deep vine angiography or color Doppler ultrasonic examination.All the patients were performed embolectomy with Fogarty.Twenty-nine cases underwent reconstruction,of whom,3 were performed Palma-Dell operation and 26 communis iliac vein femord vein transplantion trans current.The anticoagulant and thrombolytic therapy was used during and after the operation.Results: The swelling in 17 cases(18 lower limbs) faded away completely after operation and the swelling in 9 cases faded away after exerxises.Three cases recurred.The success rate was 16/26(64%) in the acute patients and 4/11(36.3%) in the chronic patients.One patient died of pulmonary embolism.Conclusions: DVT combined with reconstruction was effective for treatment of patient with acute deep vein thrombosis of the lower extremity.Measures should be taken to prevent recurrence after operation.