下肢深静脉血栓致急性肺动脉栓塞的双介入治疗分析

目的分析双介入治疗下肢深静脉血栓（DVT）致急性肺动脉栓塞（PE）的疗效与安全性。方法将本院采取双介入治疗的DVT致急性PE患者根据置入下腔静脉滤器种类分为临时组与永久组,对比两组术后及随访情况。结果两组术后测得下肢静脉压、SPO2,统计手术成功率及出院前统计住院时间均无明显差异,P〉0.05;术后12个月临时组血栓复发率、手术并发症发生率与口服用药时间均显著低于永久组,P〈0.01;但永久组滤器故障率明显低于临时组,P〈0.05。结论双介入置入临时下腔静脉滤器近期疗效确切,远期疗效良好,安全可行,是治疗下肢深静脉血栓致急性肺动脉栓塞的良好选择。

Dual intervention analysis of acute pulmonary embolism caused by deep vein thrombosis

Objective To analyze the effect and safety of dual intervention of acute pulmonary embolism caused by deep vein thrombosis. Methods Divided acute pulmonary embolism patients caused by taking dual intervention in our hospital into temporary group and permanent group, compared the situation of postoperative and following-up. Results There were no significant differences of measured after venous pressure, SPO2, statistical success rate of surgery and hospital stay before discharge in postoperative treatment, P>0.05; Thrombosis recurrence rate, incidence of surgical complications and oral medication time of temporary group 12 months after surgery were significantly lower than permanent group, P<0.01; but filter failure rate of permanent group was significantly lower than temporary group, P<0.05. Conclusion The shortterm effect of dual involvement of temporary inferior vena cava filter placement is effective, the long-term efficacy is good, safe and feasible, is the good choice to treat acute pulmonary embolism caused by deep vein thrombosis.