腔静脉滤器的应用进展  

Application progress of vena cava filter

作　　者：胡春梅 田鑫悦 陈蒙华[1] Hu Chunmei;Tian Xinyue;Chen Menghua(Department of Critical Care Medicine,the Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,Guangxi,China)

机构地区：[1]广西医科大学第二附属医院重症医学科,广西南宁530007

出　　处：《血管与腔内血管外科杂志》2024年第2期180-184,209,共6页Journal of Vascular and Endovascular Surgery

摘　　要：深静脉血栓(DVT)是临床常见的疾病,急性期发生血栓脱落可引起肺栓塞(PE),其病死率极高。应用腔静脉滤器拦截DVT脱落的栓子流向右心房可有效降低PE的发生率及其危害程度。腔静脉滤器可根据放置位置的不同分为下腔静脉滤器和上腔静脉滤器。下腔静脉滤器又可因使用时间的不同分为永久性滤器和非永久性滤器,后者可进一步细分为临时性、可回收性、可转换型滤器等。本文就近年来国内外关于预防PE的滤器种类和治疗效果进行简要综述,旨在为临床医师合理选用腔静脉滤器提供参考。Deep vein thrombosis(DVT)is the common clinical disease.Acute thrombus shedding can lead to pulmonary embolism(PE),and the risk of death is extremely high.The application of vena cava filter to block the flow of embolus from DVT to the right atrium can effectively reduce the incidence of pulmonary embolism and the degree of its harm.Vena cava filters can be divided into inferior vena cava filters and superior vena cava filters according to their placement positions;inferior vena cava filters can be divided into permanent and non-permanent filters according to the difference in use time;the latter can be further subdivided into temporary filters properties,recyclability,convertible filters,and so on.This article briefly reviews the types and therapeutic effects of filters for the prevention of pulmonary embolism at home and abroad in recent years,aiming to provide a reference for clinicians to choose inferior vena cava filter(IVCF)reasonably.

关 键 词：深静脉血栓 肺栓塞 静脉血栓栓塞症 腔静脉滤器 应用进展 

分 类 号：R543[医药卫生—心血管疾病]