彩色多普勒血流显像联合X 射线在下腔静脉滤器置入治疗骨折后 下肢深静脉血栓中的临床应用
| 作者: |
1高军,
2肖际东
1 吉首民族骨科医院骨科，湖南 吉首 416000, China 2 中南大学湘雅三医院超声科，长沙 410013 |
| 通讯: |
肖际东
Email: jidongxiao1975@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.07.025 |
| 基金: | 中南大学湘雅三医院新湘雅人才工程“至善领跑计划”(20160307)。 |
摘要
目的：探讨彩色多普勒血流显像(color Doppler flow imaging，CDFI)联合X射线在骨折后下肢深静 脉血栓(deep venous thrombosis，DVT)行下腔静脉滤器(interior vena cava filter，IVCF)置入治疗 中的应用价值。方法：2014年1月至2017年11月对86例骨折后下肢DVT患者进行IVCF置入术，随 机分为两组，X射线引导组36例，彩超联合X射线引导组50例，对比评估两组间的置入效果。结 果：超声联合X射线组IVCF置入时间、X射线照射时间、置入成功率、并发症发生率分别为(39.2± 6.3) min，(7.8±2.0) min，94.0%，6%，X射线引导组分别为(40.9±5.6) min，(11.5±2.6) min， 94.4%，5.6%。超声与X射线联合组X射线照射时间短于X射线引导组(P<0.05)。置入时间、置入成 功率、并发症发生率组间比较差异无统计学意义(P>0.05)。结论：超声联合X射线引导IVCF置入术 成功率高，安全可靠，可弥补X射线引导的不足，具有较高的临床应用价值。
关键词：
深静脉血栓；下腔静脉滤器；超声；X射线；肺动脉栓塞
Clinical application of inferior vena cava filter placement under the combination guidance of color Doppler flow imaging and X-ray in deep venous thrombosis of lower limb with fracture
CorrespondingAuthor: XIAO Jidong Email: jidongxiao1975@126.com
DOI: 10.3978/j.issn.2095-6959.2018.07.025
Foundation: This work was supported by the New Talents Project from Third Xiangya Hospital of Central South University, China (20160307).
Abstract
Objective: To evaluate clinical value of inferior vena cava filter (IVCF) placement under the combination guidance of color Doppler flow imaging (CDFI) and X-ray in deep venous thrombosis (DVT) of lower limb with fracture. Methods: From January 2014 to November 2017, IVCF placement was performed on 86 DVT cases caused by lower limb fracture. The DVT cases were randomly allocated into 2 groups: 36 cases in the X-ray group and 50 cases in the combination group of CDFI and X-ray. The curative effect of the placement in the 2 groups was compared and evaluated. Results: The placement time of IVCF, X-ray irradiation time, the success rate of IVCF, the incidence of complications in the combination group were (39.2±6.3) min, (7.8±2.0) min, 94.0%, 6%, respectively; in the X-ray group were (40.9±5.6) min, (11.5±2.6) min, 94.4%, 5.6%, respectively. X-ray irradiation time in the combination group was less than that in the X-ray group (P<0.05). There was no statistical significance in the placement time of IVCF, the success rate of IVCF and the incidence of complications between the 2 groups (P>0.05). Conclusion: IVCF placement under the combination guidance of CDFI and X-ray is feasible and safe. Combination of CDFI and X-ray may make up the inadequacy of each other, and has great value in the clinical application.
Keywords：
deep venous thrombosis; inferior vena cava filter; ultrasound; X-ray; pulmonary embolism