【摘要】：目的:探討復(fù)雜可回收下腔靜脈濾器回收的方法和技巧。方法:回顧性分析29例復(fù)雜濾器回收的下肢深靜脈血栓形成患者資料。所有患者均先行造影了解濾器情況;對回收鉤貼壁患者,分別采用豬尾管支撐技術(shù)、導(dǎo)絲成攀及攪拌技術(shù)、雙向?qū)Ыz技術(shù)、鵝頸抓捕器與成攀導(dǎo)絲結(jié)合技術(shù)等回收;對下腔靜脈繼發(fā)血栓患者,必要時(shí)再次新置濾器1枚,經(jīng)溶栓、吸栓處理后,將濾器回收。結(jié)果:成功回收24例,1例患者濾器未能成功回收,4例放棄,回收率83.9%。術(shù)中無下腔靜脈破裂出血、肺栓塞并發(fā)癥,取出濾器完整、無折斷現(xiàn)象。至少隨訪半年,下腔靜脈血流通暢、無血栓形成,腹腔無明顯積液。結(jié)論:導(dǎo)管、導(dǎo)絲及鵝頸抓捕器輔助,溶栓、吸栓等方法可增加復(fù)雜可回收下腔靜脈濾器回收率,可減少長期留置引起相關(guān)并發(fā)癥。
[Abstract]:Objective: to explore the method and technique of complex recyclable inferior vena cava filter. Methods: the data of 29 patients with deep venous thrombosis of lower extremity recovered by complex filter were analyzed retrospectively. All the patients were examined in advance to understand the situation of filter, and the recovery hooks and adherent patients were recovered by pig tail tube support technology, guide wire climbing and stirring technology, bidirectional wire guide technology, goose neck gripper and climbing guide wire technology, etc. In patients with secondary thrombus of inferior vena cava, if necessary, a new filter was placed again. After thrombolysis and thrombolysis, the filter was recovered. Results: 24 cases were recovered successfully, 1 case failed to recover the filter, 4 cases gave up, the recovery rate was 83.9%. There was no hemorrhage of inferior vena cava and complications of pulmonary embolism. At least half a year follow-up, the inferior vena cava blood flow unobstructed, no thrombosis, no obvious peritoneal effusion. Conclusion: the methods of catheter, wire guide and gooseneck trap, thrombolysis and thrombolysis can increase the recovery rate of complex recoverable inferior vena cava filter and reduce the complications caused by long-term indwelling.
【作者單位】： 安徽省阜陽市第二人民醫(yī)院血管外科;
【分類號】：R543.6

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