The following is for reference:
Can sequelae of deep venous thrombosis of lower limbs be cured?
At present, there is no medical method to completely cure the sequelae of deep venous thrombosis of lower limbs. Drug thrombolysis and interventional therapy have no significance for sequelae of deep venous thrombosis of lower limbs. Interventional stent treatment has poor effect and low patency rate. The effect of surgical bypass or bypass is also poor, and there is surgical risk. Traditional Chinese medicine treatment still lacks the support of evidence-based medicine.
Therefore, the main purpose of treatment is to control or relieve the symptoms of venous thrombosis sequelae of lower limbs and promote the recanalization of deep venous cavity.
Can deep venous thrombosis of lower limbs be treated surgically after recanalization?
If the B-ultrasound reexamination shows that the deep vein of lower extremity has been completely recanalized, CT must be done to understand the patency of iliac vein. If iliac vein occlusion and stenosis are also ruled out, patients with leg ulcers can cut off the superficial veins and communication of lower limbs. Only edema of lower limbs or pigmentation of lower legs exist, and conservative treatment is generally adopted.
If there is no recanalization after deep venous thrombosis of lower limbs, how should it be treated?
If deep venous obstruction of lower limbs is still found by B-ultrasound or iliac vein CT examination, conservative treatment should be considered first. Conservative treatment methods include: (1) pressure therapy; (2) medication. The effect of pressure therapy is better than that of drug therapy.
What is the significance of pressure therapy in the treatment of sequelae of deep venous thrombosis of lower limbs?
The pressure gradient of deep vein of lower limbs gradually increases from top to bottom, and pressure therapy is to achieve the therapeutic purpose by eliminating this pressure. Commonly used compression therapy methods are divided into: (1) intermittent air pump compression therapy; (2) Elastic socks with pressure gradient. The effect of intermittent air pump compression treatment is better than that of elastic socks.
What are the drugs for treating sequelae of deep venous thrombosis of lower limbs?
Strictly speaking, there is no effective medicine to treat sequelae of deep vein thrombosis in medicine. However, while using pressure therapy, the auxiliary use of some drugs can increase the therapeutic effect. The commonly used drugs in clinic are: Aimailang, Xiaotuozhi, Maizhiling, traditional Chinese medicine and so on. Among them, Amylang has the best effect, the most convenient to take and the cheapest price, which is recommended by international clinical guidelines. However, the effect of drug therapy alone is not good, and it must be combined with pressure therapy.
How to distinguish true from false in the treatment of sequelae of deep venous thrombosis of lower limbs by traditional Chinese medicine?
At present, Chinese medicine treatment in China market is mixed, which deceives many people. The basic points to distinguish between true and false are: (1) whether to advertise or promote in newspapers and online; Conventional drugs are generally not advertised or promoted in public media. (2) The names of drugs or therapies are very attractive, such as "Pulse * * Tong" and "Thrombosis * * Tong". Regular drugs cannot be directly named by the word disease. (3) Drugs or therapies that are not available in regular large hospitals. The latest drugs or therapies are generally first adopted by regular large hospitals.
What is the best treatment recommended?
According to a large number of cases of sequelae of deep vein thrombosis in Shanghai Oriental Hospital, combined with the latest international research report, the following recommended treatment scheme has the advantages of quickly relieving edema, preventing lower limb ulcers and accelerating the recanalization of deep vein thrombosis. The specific scheme is as follows: (1) intermittent air pump pressurization treatment, twice a day, each time 15 minutes or more; (2) Wear elastic socks with medium pressure or above after being pressurized by an air pump; (3) Take two tablets of starch once a day. (4) Patients with acute thrombosis need heparin and warfarin for anticoagulant therapy. B-mode ultrasound of deep vein was re-examined every 6 months to understand the recanalization, and CT of iliac vein was re-examined after 1 year.
Interview with Zhang Qiang, a famous expert in vascular surgery in Shanghai
Professor Zhang Qiang is the director of vascular surgery in Shanghai Oriental Hospital affiliated to Tongji University. He is one of the top experts in the treatment of varicose veins and deep vein thrombosis in China, and enjoys a prominent reputation in the international and domestic vascular surgery circles. I suggest that you search "Dr. Zhang Qiang's personal website" in Baidu, and conduct online expert consultation in the patient consultation area, and you may get a more standardized and targeted answer from Dr. Zhang.