下腔静脉滤器植入术治疗下肢深静脉血栓的临床应用
摘要：目的探讨下肢深静脉血栓形成(DVT)的有效治疗方法。方法对我科2012年10月~2013年10月收治的13例下肢DVT的患者行下腔静脉滤器植入术，并进行深静脉溶栓治疗，根据临床结果回顾分析。结果13例下腔静脉滤器植入术全部成功，未发现明显并发症，溶栓治疗过程中未出现肺动脉栓塞。结论 下肢深静脉血栓溶栓治疗前放置下腔静脉滤器，可以有效预防肺栓塞，是治疗下腔静脉血栓溶栓治疗有效预防肺栓塞等并发症的有效方法。
关键词：深静脉血栓；下腔静脉滤器植入；肺栓塞；溶栓治疗
Treatment of Lower Extremity Deep Venous Thrombosis with IVC Filter Placement
ZHANG Zhen-hai,YU Chang-hui
(Department of Thoracic Surgery,Kizilsu Kirgiz People Hospital,Kizilsu Kirgiz 845350,Xinjiang,China)
Abstract：ObjectiveTo investigate the feasible and effective means for the lower extremity deep venous thrombosis(DVT). Methods13 inferior vena cava filters were placed in 13 patients with deep venous thrombosis in our hospital from October 2012 to October 2013, and then the patients were treated using thrombolysis therapy. 13cases underwent percutaneous placement of IVC for prevention of pulmonary embolism. ResultsThe vena cava filters were successfully implanted in all cases, and no complications occurred. ConclusionInferior vena cava filter’s placement is an effective and safe technique for preventing pulmonary embolism before performing thrombolysis therapy. But the indication should be strictly controlled. Surgical management is an effective method for the treatment and the prevention of later complication of lower extremity deep venous thrombosis.
Key words：Deep venous thrombosis; Inferior vena cava filter placement; Pulmonary embolism prevention; Thrombolytic therapy
下肢深静脉血栓是导致肺动脉栓塞的主要原因，60%~70%的下肢深静脉血栓患者会并发肺栓塞，并且严重者可导致猝死[1]。目前下腔静脉滤器植入术是预防肺栓塞的主要方法， 2012...
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