超声引导下腔静脉滤器植入联合手术取栓治疗急性下肢深静脉血栓  

Ultrasound-directed vena caval filter placement and embolectomy for acute deep vein thrombosis

作　　者：杨进[1] 沈来根[1] 梅劲桦[1] 朱越峰[1] 徐海珊[2] 

机构地区：[1]浙江大学医学院附属邵逸夫医院普外科,杭州310016 [2]浙江大学医学院附属邵逸夫医院超声科,杭州310016

出　　处：《中华急诊医学杂志》2006年第6期543-545,共3页Chinese Journal of Emergency Medicine

摘　　要：目的探讨下腔静脉滤器植入联合手术治疗急性下肢深静脉血栓的可行性和疗效。方法回顾性分析我院于2004年9月至2005年10月完成的,15例彩色多普勒超声引导下腔静脉滤器植入并手术取栓的,急性下肢深静脉血栓的患者资料。结果所有下腔静脉滤器植入和手术取栓都获得了成功,效果明显。在随访中,患者未发生滤器移位,亦无肺梗塞。结论彩色多普勒超声引导下腔静脉滤器植入术简便、安全、经济、有效,联合手术取栓对于急性下肢深静脉血栓治疗效果明显。Objective To evaluate the feasibility and effieaey of implantation of inferior vena eava （IVC） filter under the guidance of color Doppler ultrasound and emboleetomy for acute deep vein thrombosis. Methods The clinical data of 15 patients, who underwent implantation of inferior vena eava filter under the guidance of color Doppler ultrasound and emboleetomy in our hospital from September 2004 to October 2005, were retrospectively analysed. Results All the implantation of IVC filter and emboleetomy were successful. During foLlow-up, the effect of emboleetomy was .satifaetory, the patients suffered neither from migration and complication of the filter, nor from pulmonary embolism. Conclusion Because of its safety and effectiveness , implantation of IVC filter under the guidance of color Doppler ultrasound and emboleetomy should be promoted.

关 键 词：彩色多普勒超声 下腔静脉滤器 手术取栓 下肢深静脉血栓 

分 类 号：R654.4[医药卫生—外科学]