下腔静脉滤器的临床应用进展

治良 李(承德医学院附属医院，中国)
青云 张(承德医学院附属医院，中国)

摘要

静脉血栓栓塞症（venous thrombo embolism，VTE），包括肺血栓栓塞症（pulmonary thromboembolism，PTE）和深静脉血栓形成（deep veinthrombosis，DVT），一直是一个主要的公共卫生问题，是西方国家第三大常见心血管事件。在美国，静脉血栓栓塞的年发病率为每10万人中有123例。在中国，由于人口老龄化的迅速发展，以及出现心血管疾病和癌症等合并症人数的不断增加，静脉血栓栓塞的住院人数不断增加。而对于VTE患者，下腔静脉滤器（inferior vena cava filter，IVCF）的临床应用可有效的降低肺栓塞（pulmonary embolism，PE）的风险。目前应用于临床的滤器种类多种多样，各有相应的优缺点，给临床医师的选择带来一定的困惑。论文将对IVCF的应用趋势、类型、适应症、并发症及IVCF的随访管理进行总结和归纳。

关键词

下腔静脉滤器；进展；适应症；并发症

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DOI: http://dx.doi.org/10.12345/yzlcyxzz.v7i1.15606