经皮植入下腔静脉滤网的临床应用  

Clinical application of inferior vena cave filter

作　　者：刘宏伟[1] 任伟新[2] 陈彩珍[1] 隋强[1] 张晓琴[1] 朱国萍[1] 

机构地区：[1]新疆医科大学第五附属医院放射介入科,新疆乌鲁木齐830011 [2]新疆医科大学第一附属医院介入放射科,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2009年第1期45-47,共3页Journal of Xinjiang Medical University

摘　　要：目的：探讨下肢深静脉血栓形成患者经皮穿刺植入下腔静脉滤网预防肺梗塞的效果及临床意义。方法：对30例下肢深静脉血栓形成患者实施经皮穿刺置入下腔静脉滤网术，植入钛质TKG滤网7例，BNF滤网5例，LP—VTF滤网18例。25例滤网由右股静脉穿刺植入，5例滤网由右颈内静脉穿刺植入。27例患者滤网置于右肾静脉水平以下1～1．5cm的下腔静脉内，3例滤网置于肝静脉之下和左肾静脉水平以上。结果：30例患者下腔静脉内成功植入滤网，均无严重手术并发症发生。28例随访6～30个月，滤网无移位。2例随访1年后失访。结论：经皮植入下腔静脉内滤网是预防肺梗塞发生的安全、有效的方法。Objective： To study the effectiveness and significance of percutaneous inserting an inferior vena filter to prevent the detachment of the thrombus in the lower extremities. Methods： Inferior vena cava filtrs were inserted in 30 patients with deep venous thrombosis（DVT）. Titanium Greenfield （TKG） was used in 7 cases, and Bird＇s nest filter （BNF） in 5 case, and LP-Vena Tech filter （Lp-VTF） in 18 cases. Twenty-seven filters were placed via IVC at the level of below 1 -1.5 cm to the right renal veins, three filters were placed via IVC at the level of up to the left renal veins. Results： All the filters were placed in the inferior vena cava successfully. Twenty-five filters were placed through the right femoral vein percutaneously, Five filters was placed through the right internal jugular vein. No serious complications occurred. Twenty-eight cases were followed up to 6-0 months, and migration of the filters was not found. Conclusion： The IVC filter placement is an effective and safe method in preventing the pulmonary artery embolism.

关 键 词：经皮穿刺 深静脉血栓 下腔静脉滤网 肺梗塞 

分 类 号：R815[医药卫生—放射医学] R543.4[医药卫生—临床医学]