可回收腔静脉滤器在下肢深静脉血栓形成患者中的应用  

Clinical treatment of application of deep venous thrombosis by retrievable vena cava filter

作　　者：周兴立[1] 郭曙光[1] 方伟[1] 尹存平[1] 张鹏[1] 邱天[1] 彭明生[1] 苏宏斌[1] 陈翠菊[1] 

机构地区：[1]成都军区昆明总医院血管外科,昆明650032

出　　处：《中华医学杂志》2011年第32期2258-2260,共3页National Medical Journal of China

摘　　要：目的探讨可回收性腔静脉滤器在下肢深静脉血栓形成患者治疗中发挥的临床作用。方法2005年9月至2009年8月解放军昆明总医院对180例经血管彩色多普勒超声确诊的单侧下肢深静脉血栓形成患者，经健侧股静脉置入可回收性腔静脉滤器，对其中114例患者同时行股静脉切开取栓术，术后给予抗凝、溶栓及扩血管药物治疗。结果可回收腔静脉滤器植入伞部成功，术后12～24d对142例行滤器取出术，成功取出116例，取出成功率81．69％。滤器捕捉到血栓34例，占29．31％。结论下肢深静脉血栓形成患者为预防肺动脉栓塞，使用可回收性腔静脉滤器是必要的，可回收腔静脉滤器能安全、有效预防肺动脉栓塞，避免滤器长期留置体内带来的并发症。Objective To summarize the clinical experiences of treating deep venous thrombosis （DVT） with retrievable vena cava filter. Methods A total of 180 patients with DVT in unilateral lower extremity were recruited. There were 82 males and 98 females with an average age of 46 years old. After the diagnosis of vascular color Doppler ultrasound, retrievable vena cava filter was implanted through contralateral femoral vein. Simultaneously another 114 patients underwent femoral vein embolectomy. All cases received the post-operative therapies of anticoagulation, thrombolysis and vasodilation. Results The implantation of retrievable vena cava filter was successful in all cases. Among 142 cases of attempted extraction, 116 filters were extracted successfully at Days 12 -24. The success rate was 81.69 %. Filters captured thrombosis in 34 cases （29.31%）. Conclusion As a safe and efficaious method, the implantation of retrievable vena cava filter prevents the occurrence of pulmonary embolism in the patients with DVT in unilateral lower extremity. Its timely extraction may avoid the long-term complications.

关 键 词：静脉血栓形成 肺动脉栓塞 腔静脉滤器 

分 类 号：R543.6[医药卫生—心血管疾病]