中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2008年
8期
826-829
,共4页
王剑锋%ZHENG Juan%钱晓军%WEI Bao-jie%高堃%周意明%HUANG Qiang%戴定可%YU Ping%翟仁友
王劍鋒%ZHENG Juan%錢曉軍%WEI Bao-jie%高堃%週意明%HUANG Qiang%戴定可%YU Ping%翟仁友
왕검봉%ZHENG Juan%전효군%WEI Bao-jie%고곤%주의명%HUANG Qiang%대정가%YU Ping%적인우
静脉血栓形成%下肢%肺栓塞%腔静脉滤器%放射学,介入性
靜脈血栓形成%下肢%肺栓塞%腔靜脈濾器%放射學,介入性
정맥혈전형성%하지%폐전새%강정맥려기%방사학,개입성
Venous thrombosis%Lower extremity%Pulmonary embolism%Veua cava filters%Radiology,interventional
目的 探讨置入下腔静脉滤器(IVCF)预防肺栓塞(PE)的长期安全性、疗效及并发症.方法 回顾性分析1994年1月至2005年6月期间73例接受了IVCF置人术,并经多普勒超声、DSA、CT或MRI确诊的深静脉血栓形成(DVT)和(或)PE患者资料,随访时间为放置IVCF后5个月至11年,包括电话或问卷随访、病历回顾、腹部X线片复查、超声、CT肺动脉成像(CTPA)或下肢间接性CT静脉成像(CTV)检查.结果 73例患者共置入78枚滤器,置入时1例滤器张开不全.复查时2例滤器捕获血栓,1例滤器倾斜,无滤器移位、断裂和穿孔.73例中失访5例.14例死亡,存活时间5 d至41个月,平均存活期为14.5个月.存活的54例中,确诊的再发DVT 3例、下腔静脉血栓1例、滤器血栓1例,未发现再发PE.结论 长期使用IVCF预防PE是安全、有效的,并且IVCF置入后的远期严重并发症不常见.
目的 探討置入下腔靜脈濾器(IVCF)預防肺栓塞(PE)的長期安全性、療效及併髮癥.方法 迴顧性分析1994年1月至2005年6月期間73例接受瞭IVCF置人術,併經多普勒超聲、DSA、CT或MRI確診的深靜脈血栓形成(DVT)和(或)PE患者資料,隨訪時間為放置IVCF後5箇月至11年,包括電話或問捲隨訪、病歷迴顧、腹部X線片複查、超聲、CT肺動脈成像(CTPA)或下肢間接性CT靜脈成像(CTV)檢查.結果 73例患者共置入78枚濾器,置入時1例濾器張開不全.複查時2例濾器捕穫血栓,1例濾器傾斜,無濾器移位、斷裂和穿孔.73例中失訪5例.14例死亡,存活時間5 d至41箇月,平均存活期為14.5箇月.存活的54例中,確診的再髮DVT 3例、下腔靜脈血栓1例、濾器血栓1例,未髮現再髮PE.結論 長期使用IVCF預防PE是安全、有效的,併且IVCF置入後的遠期嚴重併髮癥不常見.
목적 탐토치입하강정맥려기(IVCF)예방폐전새(PE)적장기안전성、료효급병발증.방법 회고성분석1994년1월지2005년6월기간73례접수료IVCF치인술,병경다보륵초성、DSA、CT혹MRI학진적심정맥혈전형성(DVT)화(혹)PE환자자료,수방시간위방치IVCF후5개월지11년,포괄전화혹문권수방、병력회고、복부X선편복사、초성、CT폐동맥성상(CTPA)혹하지간접성CT정맥성상(CTV)검사.결과 73례환자공치입78매려기,치입시1례려기장개불전.복사시2례려기포획혈전,1례려기경사,무려기이위、단렬화천공.73례중실방5례.14례사망,존활시간5 d지41개월,평균존활기위14.5개월.존활적54례중,학진적재발DVT 3례、하강정맥혈전1례、려기혈전1례,미발현재발PE.결론 장기사용IVCF예방PE시안전、유효적,병차IVCF치입후적원기엄중병발증불상견.
Objective To evaluate the long-term safety, efficacy and complications of placement vena cava filter in prevention of pulmonary embolism. Methods Seventy-three patients with proven diagnosis of deep venous thrombosis (DVT) and (or) pulmonary embolism (PE) by Doppler ultrasonography, DSA, CT or MRI, received percutaneous inferior vena cava filters (IVCF) from January 1994 to June 2005. The clinical data and imaging findings were evaluated retrospectively. The patients underwent telephone interview or questionnaire, abdominal X-rays, Doppler ultrasonography, computed tomographic pulmonary angiography (CTPA) or indirect CT venography (CTV) after a follow-up duration of 5 months to 11 years. Results Seventy-eight vena cava filters were used. There was 1 case of incomplete filter opening when placing filter. In follow-up, thrombi were trapped in the filter in 2 cases, filter tilting happened in 1 case, and there were no filter migration, filter disruption, filter perforation. Five of 73 cases were lost in follow-up visit, 14 patients died after implantation (5 days to 41 months, average 14.5 months). Among the 54 living patients, the identified recurrent PE was not noted. Three cases of recurrent DVT, 1 case of inferior vena caval thrombosis and 1 case of thrombosed filters were seen in follow- up. Conclusion Inferior veua cava filter is safe and effective for the long-term prevention pulmonary embolism, and the long-term major complications after filter placement are not frequent.
