摘要
目的通过国产ZQL滤器与进口滤器置入后相关并发症的对照研究,探讨国产滤器的应用价值。方法将因静脉血栓放置滤器患者分为国产滤器组62例和进口滤器组58例,术后行腹部X线平片、下肢静脉造影和(或)肺动脉造影及下肢静脉彩色多普勒超声检查,有怀疑肺栓塞的患者行3D-CT检查。结果所有患者的静脉滤器均成功置入预定部位,国产滤器组术后1例发生滤器移位(>10mm),1例滤器内有血栓,2例并发下腔静脉阻塞,1例并发肺栓塞;进口滤器组术后2例滤器内有血栓,2例并发下肢静脉血栓,9例并发下腔静脉阻塞,1例并发滤器穿破静脉壁,1例并发肺栓塞。两组并发症数据均进行χ2检验,结果差异无统计学意义(P>0.05)。结论国产ZQL滤器置入后并发症和进口滤器相比差异无统计学意义,可以替代进口滤器应用。
Objective To investigate the clinical value of domestic ZQL-type inferior vena caval filter through comparing its complications with that of imported inferior vena caval filter. Methods Domestic ZQL- type inferior vena caval filter was placed in 62 patients （study group） and imported inferior vena caval filter in 58 patients （control group） for the treatment of deep venous thrombosis of the lower limb. Abdominal plain film, lower limb phlebography and/or pulmonary arteriography, color Doppler uhrasonography were performed after the procedure. 3D-CT scanning was carried out when pulmonary embolism was suspected. The complications were documented and analyzed. Results In all patients the inferior vena caval filter was successfully implanted in planned site. In study group, the complications included filter migration over 10 cm （n = 1）, thrombus in the filter in = 1）, inferior vena cava obstruction （n = 2） and pulmonary embolism （n = 1 ）. In control group, the complications included thrombus in the filter （n = 2）, deep venous thrombus of the lower extremities （n = 2）, inferior vena cava obstruction （n = 9）, venous perforation by filter （n = 1 ） and pulmonary embolism in = 1 ）. The data were compared between two groups and statistic analysis showed no significant difference between two groups （P 〉 0.05）. Conclusion No significant difference in the occurrence of complications exists between domestic ZQL-type inferior vena caval filter and imported inferior vena caval filter, therefore, domestic ZQL-type inferior vena caval filter can safely substitute for the imported filter.
出处
《介入放射学杂志》
CSCD
北大核心
2009年第7期493-495,共3页
Journal of Interventional Radiology
基金
国家“九五”科技攻关课题资助项目(96-907-01-02)
关键词
国产滤器
进口滤器
并发症
对照研究
domestic inferior vena caval filter
imported inferior vena caval filter
complication
comparative study
