CLINICAL EFFECTIVENESS OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE THROMBOSIS OF LOWER LIMBS

Abstract

Summary. Examination and treatment of 274 patients with acute deep vein thrombosis of the lower limbs (DVT) was carried out. Thrombolytic therapy (TLT) as a basic method of treatment was used in 98 (35.8 %) patients. Of these, 44 (16.1 %) underwent catheter-guided thrombolysis and 54 (19.7 %) patients underwent systemic thrombolytic therapy. Anticoagulant therapy (ACT) was the basic method of treatment in 176 (64.2 %) patients. In the distant period, the positive results of TLT significantly exceeded the results of ACT. Thus, only 14 (15.7 %) patients after TLT had pronounced signs of postthrombotic disease in the remote period, while during treatment with anticoagulants 40 (30.8 %) patients had clinical manifestations of severe forms of CVI.