天津医药

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下腔静脉滤器置入与下肢深静脉血栓形成复发的关系

史燕,冯毅   

  1. 天津市人民医院
  • 收稿日期:2011-01-20 修回日期:2011-03-01 出版日期:2011-12-15 发布日期:2011-12-15
  • 通讯作者: 史燕

  • Received:2011-01-20 Revised:2011-03-01 Published:2011-12-15 Online:2011-12-15

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摘要： 肺栓塞(pulmonary thrombosis, PE)是下肢深静脉血栓形成(deep venous thrombosis, DVT)的严重并发症之一。为预防PE，下腔静脉滤器(inferior vena cava filter, IVCF)置入术得到了广泛的使用，但滤器的置入亦可能成为下肢DVT治疗后复发的原因。现回顾我院261例下肢DVT患者的治疗情况，探讨IVCF置入术与下肢DVT治疗后复发的关系。

关键词: 静脉血栓形成, 下肢, 血栓性静脉炎, 腔静脉滤器, 复发, Logistic模型

Abstract: 【Abstract】 Objective To investigate the correlation between inferior versa cava filter (IVCF) implantation and recurrence of deep venous thrombosis(DVT ) of lower limb. Methods A total of selected 211 cases with DVT of lower limb, who were treated in our hospital from Jan. 2007 to Jan. 2009, were divided into recurrent group and non-recurrent group according to their outcome. Eleven possible relative factors, such as age, sex, type,ICVF implantation and so on, were compared between two groups. Results Multivariate logistic regression analysis revealed that ICVF implantation, no anticoagulant therapy, type, no elastic-stocking therapy were independent risk factors for the recurrence of DVT ( P<0.05)，and the other factors were not associated with the recurrence of DVT ( P>0.05).Conclusion IVCF implantation is a important independent risk factor for recurrence of DVT. Anticoagulant therapy and elastic-stocking therapy will benefit to reduce the recurrence of DVT of lower limb.