CAJ | 학술논문

目的探讨腔静脉滤器置入对预防下肢深静脉血栓形成患者发生肺动脉栓塞的临床意义.方法回顾性分析180例因各种原因导致、经超声检查证实的下肢深静脉血栓形成患者的临床资料,其中58例已发生肺动脉栓塞,均接受腔静脉滤器置入术.结果 180例患者行腔静脉滤器置入术全部成功,滤器全部置入在肾静脉水平下方1～3 cm的下腔静脉之内,无穿刺部位血肿及局部血栓形成,149例(82.8%)随诊1、6、12个月,其中55例(30.6%)随诊超过36个月,均未见有滤器漂移、变形、下腔静脉穿孔等并发症;所有病例未出现致死性肺动脉栓塞;腔静脉通畅率约95.6%.结论腔静脉滤器置入是目前治疗和预防下肢深静脉血栓形成发生肺动脉栓塞的安全有效的方法.
목적 탐토강정맥려기치입대예방하지심정맥혈전형성환자발생폐동맥전새적림상의의.방법 회고성분석180례인각충원인도치、경초성검사증실적하지심정맥혈전형성환자적림상자료,기중58례이발생폐동맥전새,균접수강정맥려기치입술.결과 180례환자행강정맥려기치입술전부성공,려기전부치입재신정맥수평하방1～3 cm적하강정맥지내,무천자부위혈종급국부혈전형성,149례(82.8%)수진1、6、12개월,기중55례(30.6%)수진초과36개월,균미견유려기표이、변형、하강정맥천공등병발증;소유병례미출현치사성폐동맥전새;강정맥통창솔약95.6%.결론 강정맥려기치입시목전치료화예방하지심정맥혈전형성발생폐동맥전새적안전유효적방법.
Objective To evaluate the clinical significance of implanting an inferior vena cava filter to prevent pulmonary embolism.Methods Reviewed the causality of 180 cases,which was undertaken the ultrasound examination,patients were diagnosed as the deep vein thrombosis,male patients were 128 cases, female patients were 52 cases,median age was 65 years old,all received the transfemora] implantation of inferior vena cava filter implantation.Results All the operations were successfully conducted,filters were placed into inferior vena cava at 1-3 cm inferior of renal vein,without hematoma in the puncture position and thrombosis.One hundred and forty-nine cases (82.8%) were followed up at 1,6,12 months respectively, 55 cases(30.6%)were followed up more than 36 months, no filter drift,deformation and inferior vena perforation complications was observed.There was no fatal pulmonary embolism occurred for all the cases,the inferior vena unobstructed rate was 95.6%.Conclusion Vena cava filter is an effective and safe method which can prevent and cure pulmonary embolism.