中国普外基础与临床杂志

中国普外基础与临床杂志

可回收腔静脉滤器在下肢骨折伴深静脉血栓患者中的应用

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目的探讨下肢或盆骨骨折合并下肢深静脉血栓(DVT)患者置入可回收下腔静脉滤器预防围术期肺栓塞的价值。方法回顾性分析 168 例下肢或盆骨骨折合并 DVT 置入腔静脉滤器患者的临床资料,统计滤器回收率及血栓拦截率的情况。结果本组 168 例患者均成功置入滤器,并于(48.3±4.8) d(14~97 d) 后取出可回收滤器;其中 159 例成功取出滤器,取出率为 94.6%,经造影检查或取出腔静脉滤器时发现滤器上有血栓者 61 例,即血栓拦截率为 36.3%(61/168)。结论下肢或盆骨骨折合并 DVT 患者置入可回收腔静脉滤器可有效拦截血栓、避免肺栓塞的发生。

ObjectiveTo explore the value of recombinant inferior vena cava filter (IVCF) in the prevention of perioperative pulmonary embolism in patients with lower limb or pelvic fracture combined with deep venous thrombosis (DVT).MethodsThe clinical data of 168 patients with lower limb or pelvic fracture combined with DVT were analyzed retrospectively.ResultsThe filters were successfully implanted in 168 patients, and the recoverable filters were removed after (48.3±4.8) d (14–97 d). The filters were removed successfully in 159 cases, and the removal rate was 94.6%. Sixty-one cases were found to have thrombus on the filter after contrast examination or removal of vena cava filter, that is, the thrombus interception rate was 36.3%.ConclusionFor patients with lower limb or pelvic fracture combined with DVT, the rechargeable vena cava filter can effectively stop thrombosis and avoid pulmonary embolism.

关键词: 下肢骨折; 盆骨骨折; 深静脉血栓; 腔静脉滤器

Key words: lower limb fracture; pelvic fracture; deep vein thrombosis; vena cava filter

引用本文: 谢明锐, 王雪钢. 可回收腔静脉滤器在下肢骨折伴深静脉血栓患者中的应用. 中国普外基础与临床杂志, 2019, 26(3): 312-314. doi: 10.7507/1007-9424.201811008 复制

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