经皮下腔静脉滤器置入术后观察  

Percutaneous Insertion of the Inferior Vena Cava Filter

作　　者：周汝明[1] 刘闽华[1] 邱水波[1] 朱嘉英[1] 庄少育[1] 杨慧君[1] 

机构地区：[1]深圳市第二人民医院DSA室,广东深圳518035

出　　处：《实用放射学杂志》2004年第2期153-154,共2页Journal of Practical Radiology

摘　　要：目的　探讨下腔静脉滤器置入术的应用范围和临床疗效。方法　 17例下肢深静脉血栓形成患者置入下腔静脉滤器 ,其中 4例经静脉对血栓进行抽吸 ,13例经患侧足背静脉对血栓进行溶栓治疗。结果　 17例滤器置入成功 ,无并发症发生。接受抽吸治疗者中有 2例出现血栓脱落 ,溶栓治疗中有 4例血栓部分脱落 ,未发生肺梗塞。结论　下腔静脉滤器可有效预防血栓脱落造成肺梗塞 。Objective To evaluate the clinical indicat ion and effect of inferior vena cava filter. Methods 17 cases of deep venous thrombosis were treated w ith insertion of the inferior vena cava filter. In 4 cases the thrombosis were d rawn by Hydrolyser catheter with popliteal vein punction, in another the thrombo sis were analysed by Urokinase with vena dorsalis pedis injection.Results The filters were successfully inserted. No seious complication were observed. The thrombosis were discharged in 2 cases with Hydr olyser catheter ,and in 4 cases with Urokinase analyse. No pulmonary thromboembo lism was observed.Conclusion The inferior vena cava filter insertion is a e ffective method to provent pulmonary thromboembolism, and a safe step for the in tervenional therapy to the deep venous thrombosis.

关 键 词：经皮下腔静脉滤器置入术 介入治疗 并发症 肺梗塞 临床资料 

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