不同入路放置下腔静脉滤器的效果分析  

Analysis of the effect of placing the inferior vena cava filter with different approaches

作　　者：孙磊[1] 亓雪 任永才[2] SUN Lei;QI Xue;REN Yongcai(Vascular Surgery,Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001,China;Department of Radiology,Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001,China)

机构地区：[1]山东中医药大学第二附属医院血管外科,山东济南250001 [2]山东中医药大学第二附属医院放射科,山东济南250001

出　　处：《医学影像学杂志》2024年第4期86-88,92,共4页Journal of Medical Imaging

摘　　要：目的 探讨经颈静脉和经股静脉不同入路置入下腔静脉滤器(Inferior vena cava filter,IVCF)的效果差异。方法 选取我院收治的股静脉穿刺置管后发生急性髂股静脉血栓形成且单纯行IVCF置入术后资料完整患者66例,按IVCF置入的不同入路将以上患者分为经颈静脉入路组和经股静脉入路组,比较两组在出血、IVCF倾斜、排尿困难、腰背疼痛、舒适度、满意度、睡眠质量等方面的效果差异。结果 经颈静脉入路组排尿困难发生率低于经股静脉入路组,差异有统计学意义(P<0.05)。经颈静脉入路组腰背疼痛评分和睡眠质量平均评分均低于经股静脉入路组,差异有统计学意义(P<0.05),舒适度、满意度评分均高于经股静脉入路组,差异有统计学意义(P<0.05)。结论 经颈静脉穿刺IVCF置入可以降低患者术后排尿困难以及腰背疼痛的情况发生,患者具有较高的舒适度、满意度以及睡眠质量。Objective To investigate the effect of inferior vena cava filter placement through jugular vein and femoral vein.Methods 66 postoperative questionnaires were collected for patients with acute iliofemoral vein thrombosis and simple inferior vena cava filter placement,the patients were divided into two groups:jugular vein approach and femoral vein approach.The effects of bleeding,filter tilt,dysuria,low back pain,comfort,satisfaction and sleep quality were compared between the two groups.Results The incidence of dysuria in the jugular vein group was significantly lower than that in the femoral vein group(P<0.05).The low back pain score and average sleep quality scores of the transjugular group were significantly lower than those in the transfemoral group(P<0.05),and the comfort and satisfaction scores were higher than those in the transfemoral group(P<0.05).Conclusion Transjugular puncture filter implantation can reduce the occurrence of postoperative dysuria and low back pain,and the patients have higher comfort,satisfaction and sleep quality.

关 键 词：下腔静脉滤器 下肢深静脉血栓形成 颈静脉入路 股静脉入路 介入性 放射学 

分 类 号：R543.6[医药卫生—心血管疾病] R815[医药卫生—内科学]