下腔静脉滤器植入术对骨折后下肢静脉血栓形成.docVIP

下腔静脉滤器植入术对骨折后下肢深静脉血栓形成 　　[摘要] 目的 探讨下腔静脉滤器植入手术对骨折后下肢深静脉血栓形成患者肺栓塞的预防作用。 方法 选取2014年4月～2015年1月在本院治疗的67例骨折后下肢深静脉血栓形成患者作为研究对象，随机分为对照组（36例）和实验组（31例）。对照组采用肝素、华法林治疗，实验组植入下腔静脉滤器并结合肝素、华法林治疗，比较两组的效果。 结果 两组治疗前与治疗后的血小板计数、血红蛋白、血细胞比容、丙氨酸氨基转移酶、血浆肌酐水平以及APTT比较，差异无统计学意义（P0.05）。两组的治愈率比较，差异无统计学意义（P0.05）。两组的的水肿发生率比较，差异无统计学意义（P0.05）。实验组的肺栓塞发生率显著低于对照组，差异有统计学意义（P中国论文网 /6/viewhtm　　[关键词] 下腔静脉滤器；深静脉血栓；肺栓塞；华法林；肝素 　　[中图分类号] R619+.2 [文献标识码] A [文章编号] 1674-4721（2015）09（c）-0030-03 　　Preventive effect of inferior vena cava filter implantation surgery on pulmonary embolism in patients with lower limb deep venous thrombosis after fracture 　　XIE Zhi-dan WANG Gang ZHOU Sheng 　　Departmentof Radiology，Xiangya Ping Mine Cooperation Hospital of Pingxiang City in Jiangxi province，Pingxiang 337000，China 　　[Abstract] Objective To explore the preventive effect of inferior vena cava filter implantation surgery on pulmonary embolism in patients with lower limb deep venous thrombosis after fracture. Methods 67 cases with lower extremity deep venous thrombosis after fracture from April 2014 to January 2015 in our hospital were selected and randomly divided into the control group（36 cases） and the experimental group（31 cases）.The control group was given heparin and warfarin，the experimental group was given implantation of inferior vena cava filter combined with heparin and warfarin.The effect in two groups was compared. Results There was no significant difference before treatment and after treatment in the level of platelet count，hemoglobin，blood cell volume，alanine aminotransferase，plasma creatinine and APTT between two groups （P0.05）.There was no significant difference in the cure rate between two groups （P0.05）.There was no significant difference in the incidence rate of edema between two groups （P0.05）.The incidence rate of pulmonary embolism in the experimental group was lower than that in the control group，with significant difference （P 　　1 资料与方法 　　1.1 一般材料 　　选取2014年4月～2015年1月在本院治疗的67例骨折后下肢深静脉血栓形成患者作