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腔静脉滤器对妇产科病人肺栓塞的预防价值

Inferior vena cava filters as a prophylaxis of pulmonary embolism in obstetrics and gynecology

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【作者】 曹满瑞孙立宏蒋红兵赵弘何健龙刘炳光

【Author】 CAO Man-Rui,SUN Li-Hong,JIANG Hong-Bing,et al.Department of Radiology,Shenzhen Maternity&Child Healthcare Hospital,Shenzhen Guangdong 518028,China

【机构】 南方医科大学附属深圳市妇幼保健院放射科南方医科大学附属深圳市妇幼保健院放射科 518038518038

【摘要】 目的:研究永久和临时腔静脉滤器运用于妇产科病人对肺栓塞的预防效果、并发症。方法:33例病人安放VTF(Vena Tech-LGM filter,VTF)永久滤器23支;安放FRF02临时滤器(Filter RF02,FRF02)11支(其中1例,安放永久和临时滤器各1只)。永久滤器随访期(3~57)月,平均22月,临时滤器平均置入4.9天。随访有无发生或再发肺栓塞,复查腹部平片,做滤器处彩超和CT检查。结果:复查病例6.7%(1/15)的VTF发生移位,6.7%(1/15)的VTF内有血栓。安放永久滤器病例,1例再发肺栓塞。安放临时滤器病例,发生穿刺部位血肿1例,取出滤器上附有血栓3例,未发生肺栓塞。结论:对于合并静脉血栓性疾病的妇产科病人,使用永久和临时滤器,安全性高,对肺栓塞有良好的预防作用。

【Abstract】 Objective:Retrospective review of indications, safety and effectivness of permanent and temporary vena cava filter in obstetrics and gynecology.Methods:Between January 1995 and December 2006,23 VTF(Vena Tech-LGM filter,VTF) and 11 temporary FRF 02(Filter RF 02,FRF02)were placed in 33 patients from obstetrics and gynecology(both temporary and permanent filter were inserted in one patient).The follow-up examinations were performed by color-coded duplex sonography,plain radiographs and computer tomography(CT). The mean observation time was 22 months by permanent and 4.9 days by temporary vena cava filter.Results:Filter migration occurred in 6.7%(1/15) of the VTF.Vena cava thrombosis was seen in 6.7(1/15) of the follow-up patients with a VTF. Pulmonary embolism was only noted in 1 patient after VTF insertion.Complication of the temporary FRF 02 included a hematom at the puncture site in one patient and residual thrombi on the filter after its removal in 3 patient.Conclusion:The results support that vena cava filter placement in patients with venous thromboembolism from obstetrics and gynecology is a safe and effective prophylactic method.

  • 【文献出处】 中国妇幼保健 ,Maternal and Child Health Care of China , 编辑部邮箱 ,2007年15期
  • 【分类号】R563.5;R71
  • 【被引频次】1
  • 【下载频次】46
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