摘要
目的 探讨下腔静脉滤器植入在下肢深静脉血栓治疗中预防肺动脉栓塞的应用价值。方法 30例下肢深静脉血栓形成的病人，14例植入永久性腔静脉滤器．16例植入临时性腔静脉滤器；27例分别行单纯静脉溶栓或切开取栓＋静脉置管溶栓；全部病例同时行抗凝治疗。结果 下腔静脉滤器植入全部成功，症状体征完全消失7例，明显缓解18例，部分缓解5例。滤器植入期间未发生肺栓塞。临时滤器在体内留置时间26～40d，1例取出后2d出现复发性肺栓塞；2例永久性滤器植入者于6个月和14个月出现下腔静脉堵塞。结论 下腔静脉滤器植入术是一种安全、有效预防肺动脉栓塞发生的临床措施，临时性和永久性滤器各有优缺点。
Objective To assess the clinical value of vena caval filters in the prevention of pulmonary embolism （PE） in patients with deep vein thrombosis （DVT）. Methods The implantation of vena caval filter was performed in 30 patients with DVT of lower extremities. A permanent filter was used in 14 cases, and temporary filter in 16. Of the 30 cases, 27 received venous thrombolysis or thrombectomy combined with interventional thrombolytic therapy. Results All the filters were successfully inserted. Symptoms and signs completely disappeared in seven patients, remarkably recovered in 18 and partly recovered in five. No PF, was documented during filter implantation. Temporary filters detained in venacava for 26- 40 days. One patient had recurrent PE two days after removal of the filter. Two patients with permanent filter presented inferior vana caval occlusion at six and 14 months, rcspectively. Conclusion Implantation of inferior vanacaval filter is safe and effective in the prevention of PE. Permanent or temporary filter has its advantages and disadvantages.
出处
《青岛大学医学院学报》
CAS
2006年第4期300-302,304,共4页
Acta Academiae Medicinae Qingdao Universitatis
关键词
腔静脉滤器
腔静脉
下
深静脉血栓形成
肺栓塞
vena caval filters
vena cava, inferior
deep-vein thrombosis
pulmonary embolism
