下腔静脉滤器置入预防肺栓塞的临床分析

发布时间：2019-03-25 10:23

【摘要】：目的：探讨下腔静脉滤器置入术在预防肺栓塞中的应用价值方法：回顾性分析2012年1月至2013年1月收治的380例下肢深静脉血栓形成（Deep vein thrombosis，DVT）患者的临床资料，在告知肺栓塞（Pulmonaryembolism，PE）相关风险后尊重其意愿选择放置或者不放置下腔静脉滤器(Inferior Vena Cava Filter，IVCF)。选择放置IVCF为治疗组（Ｉ组）共179例，未放置IVCF患者为对照组（II组）共201例，所有两组患者出院后通过定期门诊复查进行随访，随访3-6个月。通过复查明确有无肺栓塞发生及下肢DVT复发，结合病案资料和随访结果比较各组PE发生率及下肢DVT复发率。结果：Ｉ组中失回访1例，II组中失回访4例；II组中因恶性肿瘤死亡2例，不纳入统计。（1）PE发生率：Ｉ组中PE例数为2，，死亡0例，PE发生率为1.12%； II组中PE发生例数为14例，死亡1例，PE发生率为7.18%。Ｉ组PE发生率低于II组，两者比较具有统计学意义（P 0.05）。（2）DVT复发率：Ｉ组中DVT复发例数为13，发生率为6.67%；II组中DVT复发例数为5，复发率为2.56%。Ｉ组DVT复发率高于于II组，二者比较具有统计学差异（P＜0.05）。结论：下腔静脉滤器置入可降低下肢深静脉血栓致肺栓塞的发生率，但会增加下肢DVT复发率。
[Abstract]:Objective: to evaluate the value of inferior vena cava filter (IVC) in the prevention of pulmonary embolism. Methods: from January 2012 to January 2013, 380cases of deep venous thrombosis of lower extremities (Deep vein thrombosis,) were retrospectively analyzed. The clinical data of patients with DVT respected their desire to place or not place the inferior vena cava filter (Inferior Vena Cava Filter,IVCF) after informing them of the risk associated with pulmonary embolism (Pulmonaryembolism,PE). A total of 179 patients were treated with IVCF (group I) and 201 patients without IVCF (II group). All the patients in the two groups were followed up by regular out-patient follow-up for 3 months and 6 months after discharge. The incidence of pulmonary embolism and the recurrence of DVT in lower extremities were determined by reexamination. The incidence of PE and the recurrence rate of DVT in lower extremities were compared with the clinical data and follow-up results. Results: 1 case in group I, 4 cases in group II and 2 cases died of malignant tumor in group II were not included in the statistics. (1) the incidence of PE: in group I, the number of PE cases was 2, the death rate was 0, and the incidence of PE was 1.12%. There were 14 cases of PE and 1 case of death in II group. The incidence of PE in group I (7.18%) was lower than that in group II (P 0.05). (2) the recurrence rate of DVT: in group I, the number of cases of DVT recurrence was 13, the incidence rate was 6.67%; The recurrence rate of DVT in II group was 5, and the recurrence rate of DVT in 2.56% I group was higher than that in II group. There was significant difference between the two groups (P < 0.05). Conclusion: the placement of inferior vena cava filter can reduce the incidence of pulmonary embolism caused by deep venous thrombosis in lower extremities, but it can increase the recurrence rate of DVT in lower extremities.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R563.5

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