摘要
目的评价双介入技术在治疗下肢深静脉血栓所致的急性肺动脉栓塞的临床疗效。方法经右颈内静脉或健侧股静脉放置下腔静脉滤器38枚,常规行下腔静脉造影,确定下腔静脉和释放途径无血栓形成,将滤器放置于肾静脉开口以下的下腔静脉,后经皮经肺动脉置管溶栓治疗,术后常规抗凝。结果 38例患者下腔静脉滤器放置成功,临床症状明显改善,对全部病例临床平均随访13个月(3～24个月),其中2例发生倾斜,不超过15°,2例滤器放置处血栓形成,余34例无肺栓塞,未见滤器移位,断裂,倾斜及滤器放置部位无血栓形成。结论双介入技术是治疗下肢深静脉血栓所致的急性肺动脉栓塞的有效方法。
Objective：To evaluate the efficacy of dual intervention for the treatment of acute pulmonary embolism（PE） caused by the deep venous thrombosis（DVT） of lower limbs.Methods：In this study 38 cases were treated with inferior vena cava（IVC） filter via the right internal jugular vein or the healthy common femoral vein.IVC photography was performed to confirm there was no thrombosis in IVC and access veins.The insertion site of filter was below the renal veins.Transcatheter pulmonary artery thrombolysis infusion was performed after IVC filter insertion.Anticoagulation was used in all the cases.Results：All patients underwent a successful procedure.The clinical symptoms were markedly improved.Within an average 13-month（3-24 months）-follow up it revealed filter tilting less than 15°in 2 cases and IVC thrombosis at the site of insertion in 2 cases,and there were no events of pulmonary embolism,filter migration,filter fracture,filter tilting,insertion site thrombosis in 34 cases.Conclusion：Dual interventional procedure is an effective method for treating PE due to DVT.
出处
《泰山医学院学报》
CAS
2011年第2期110-112,共3页
Journal of Taishan Medical College
关键词
下腔静脉滤器
肺栓塞
深静脉血栓形成
inferior vena cava filter
pulmonary embolism
deep venous thrombosis
