超声引导经皮穿刺下腔静脉临时性滤器置入术临床价值探讨  

作　　者：姚延峰[1] 刘学[1] 张东竹[1] 张国武[1] 周晓刚 

机构地区：[1]重庆医科大学附属永川医院,重庆402160

出　　处：《中国药业》2021年第S01期72-73,共2页China Pharmaceuticals

基　　金：重庆市永川区联合资助科技计划项目[Ycstc,2019nb0204]。

摘　　要：目的探讨超声引导经皮穿刺下腔静脉临时性滤器置入术的临床价值。方法选取医院2019年1月至2020年10月收治的接受下腔静脉临时性滤器的下肢深静脉血栓患者120例,随机分为观察组和对照组,各60例。观察组实施超声引导,对照组实施X线引导,对2种引导方法的并发症进行比较。结果两组患者的静脉滤器均成功植入预定位置,未出现倾斜、移位、致死性肺栓塞等并发症。对照组的其他并发症发生率显著高于观察组(P<0.05)。结论超声引导经皮穿刺下腔静脉临时性滤器植入术是一种简单、安全、有效的方法,相较于X线引导下滤器植入术具有较多优势,如经济实惠、无X线辐射、并发症少、能进行床边引导等,具有较高的临床应用价值。Objective To investigate the clinical value of ultrasound-guided percutaneous placement of temporary filter in inferior vena cava.Methods A total of 120 patients with lower extremity deep venous thrombosis treated with inferior vena cava temporary filter from January 2019 to October 2020 were randomly divided into the observation group and the control group,60 cases in each group.The observation group was guided by ultrasound and the control group was guided by X-ray.The complications of the two guiding methods were compared.Results The venous filters of the two groups were successfully implanted in the predetermined position,and there were no complications such as tilt,displacement and fatal pulmonary embolism.The incidence of other complications in the control group was significantly higher than that in the observation group(P<0.05).Conclusion Ultrasound-guided percutaneous inferior vena cava temporary filter implantation is a simple,safe and effective method.Compared with X-ray-guided filter implantation,it has more advantages,such as economic benefit,no X-ray radiation,less complications,bedside guidance and so on.

关 键 词：超声引导 下肢深静脉血栓 肺栓塞 下腔静脉滤器 X线引导 

分 类 号：R543.6[医药卫生—心血管疾病]