论文部分内容阅读
目的 :评价下腔静脉滤器在下肢深静脉血栓手术中及术后溶栓、抗凝治疗中预防因血栓脱落引起肺栓塞的临床效果和安全性。方法 :急性下肢深静脉血栓形成患者 10例 ,术前经健侧股静脉置入滤器于肾静脉下方的下腔静脉内 ,患侧采用超声消融和Forgary导管手术取栓治疗 ,术后继续溶栓、抗聚治疗 ,临床观察有无出现肺栓塞症状 ,定期透视观察滤器的形态与位置。结果 :除 1例置放位置不满意外 ,其余均获成功。经治疗下肢静脉血栓症状及体征消失 ,无肺栓塞发生 ,近期随访滤器无并发症发生。结论 :下腔静脉滤器是预防肺栓塞的有效措施。
OBJECTIVE: To evaluate the clinical effect and safety of IVC filters in preventing pulmonary embolism caused by thrombus shedding during deep venous thrombosis of lower extremities and postoperative thrombolysis and anticoagulation therapy. Methods: Ten patients with acute deep venous thrombosis of lower extremity were enrolled in the inferior vena cava below the renal vein through the contralateral femoral vein before operation. The affected side was treated by ultrasound ablation and Forgary catheterization. Thrombolysis was continued after operation , Anti-poly treatment, the clinical observation of the presence or absence of pulmonary embolism, regular observation of the shape and position of the filter. Results: All patients were successful except 1 patient who was dissatisfied with the placement. After treatment of venous thrombosis symptoms and signs disappeared, no pulmonary embolism occurred, the recent follow-up filter without complications. Conclusion: Inferior vena cava filter is an effective measure to prevent pulmonary embolism.