CAJ | 학술논문

目的探讨经大隐静脉置入下腔静脉滤器（IVCF）的安全性和可行性。方法将有IVCF 置入指征的60例单侧下肢深静脉血栓形成患者随机分成经股静脉组（30例）和经大隐静脉组（30例），分别经股静脉穿刺和大隐静脉切开置入IVCF，比较两组患者的手术时间、切口长度、术后住院时间及并发症情况。结果两组60例患者均成功实施IVCF置入，无围手术期死亡患者。大隐静脉组手术时间与股静脉组比较，差异无统计学意义（t=0.29，P＞0.05），大隐静脉组手术切口长度长于腔静脉组，差异有统计学意义（t=-24.70，P＜0.05），术后下床活动时间、术后住院时间均较股静脉短，差异均有统计学意义（t分别=35.04、3.30，P均＜0.05）。大隐静脉组术后发生并发症例数和穿刺口点血肿明显少于股静脉组，差异有统计学意义（χ2分别=6.67、7.93，P均＜0.05），两组均无死亡病例及切口感染病例。结论因经大隐静脉置入IVCF、安全可行，并发症发生率较低，是一种新型、可供选择的手术方式之一。
목적탐토경대은정맥치입하강정맥려기（IVCF）적안전성화가행성。방법장유IVCF 치입지정적60례단측하지심정맥혈전형성환자수궤분성경고정맥조（30례）화경대은정맥조（30례），분별경고정맥천자화대은정맥절개치입IVCF，비교량조환자적수술시간、절구장도、술후주원시간급병발증정황。결과량조60례환자균성공실시IVCF치입，무위수술기사망환자。대은정맥조수술시간여고정맥조비교，차이무통계학의의（t=0.29，P＞0.05），대은정맥조수술절구장도장우강정맥조，차이유통계학의의（t=-24.70，P＜0.05），술후하상활동시간、술후주원시간균교고정맥단，차이균유통계학의의（t분별=35.04、3.30，P균＜0.05）。대은정맥조술후발생병발증례수화천자구점혈종명현소우고정맥조，차이유통계학의의（χ2분별=6.67、7.93，P균＜0.05），량조균무사망병례급절구감염병례。결론인경대은정맥치입IVCF、안전가행，병발증발생솔교저，시일충신형、가공선택적수술방식지일。
Objective To evaluate the feasibility and safety of vena cana filter (IVCF) placement through great saphe-nous vein. Methods Sixty cases of deep venous thrombosis(DVT) in unilateral lower limb who had the indication of IVCF placement were randomly divided into femoral vein group(30 patients) who were inserted IVCF through femoral vein punc-ture and great saphenous vein group (30 patients) who were inserted IVCF through great saphenous vein. The operation time, incision length, hospital stay and complications between two groups were compared. Results Sixty cases in two groups were inserted IVCF successfully without dead case. The surgical time had no significant difference between two groups (t=0.29,P>0.05). The incision length of saphenous vein group was significantly longer than that of femoral vein group(t=-24.70,P<0.05)while the leaving bed time and hospital stay were significantly shorter than femoral vein group(t=35.04,3.30,P<0.05).The complications and the incidences of hematoma at the site of the insertion in saphenous vein group were significantly less than those of femoral vein group (χ2=6.67,7.93,P<0.05). Conclusion The placement of IVCF through great saphenous vein is a safe, feasible and lower incidence of complications operation method.