CAJ | 학술논문

目的探讨可回收性腔静脉滤器在下肢深静脉血栓形成患者治疗中发挥的临床作用.方法 2005年9月至2009年8月解放军昆明总医院对180例经血管彩色多普勒超声确诊的单侧下肢深静脉血栓形成患者,经健侧股静脉置入可回收性腔静脉滤器,对其中114例患者同时行股静脉切开取栓术,术后给予抗凝、溶栓及扩血管药物治疗.结果可回收腔静脉滤器植入全部成功,术后12～24d对142例行滤器取出术,成功取出116例,取出成功率81.69%,滤器捕捉到血栓34例,占29.31%.结论下肢深静脉血栓形成患者为预防肺动脉栓塞,使用可回收性腔静脉滤器是必要的,可回收腔静脉滤器能安全、有效预防肺动脉栓塞,避免滤器长期留置体内带来的并发症.
목적 탐토가회수성강정맥려기재하지심정맥혈전형성환자치료중발휘적림상작용.방법 2005년9월지2009년8월해방군곤명총의원대180례경혈관채색다보륵초성학진적단측하지심정맥혈전형성환자,경건측고정맥치입가회수성강정맥려기,대기중114례환자동시행고정맥절개취전술,술후급여항응、용전급확혈관약물치료.결과 가회수강정맥려기식입전부성공,술후12～24d대142례행려기취출술,성공취출116례,취출성공솔81.69%,려기포착도혈전34례,점29.31%.결론 하지심정맥혈전형성환자위예방폐동맥전새,사용가회수성강정맥려기시필요적,가회수강정맥려기능안전、유효예방폐동맥전새,피면려기장기류치체내대래적병발증.
Objective To summarize the clinical experiences of treating deep venous thrombosis (DVT) with retrievable vena cava filter.Methods A total of 180 patients with DVT in unilateral lower extremity were recruited.There were 82 males and 98 females with an average age of 46 years old.After the diagnosis of vascular color Doppler ultrasound, retrievable vena cava filter was implanted through contralateral femoral vein.Simultaneously another 114 patients underwent femoral vein embolectomy.All cases received the post-operative therapies of anticoagulation, thrombolysis and vasodilation.Results The implantation of retrievable vena cava filter was successful in all cases.Among 142 cases of attempted extraction, 116 filters were extracted successfully at Days 12 -24.The success rate was 81.69 %.Filters captured thrombosis in 34 cases (29.31% ).Conclusion As a safe and efficaious method, the implantation of retrievable vena cava filter prevents the occurrence of pulmonary embolism in the patients with DVT in unilateral lower extremity.Its timely extraction may avoid the long-term complications.