恶性肿瘤患者合并下肢深静脉血栓的介入治疗

目的 研究在恶性肿瘤患者合并下肢深静脉血栓中置入下腔静脉滤器预防肺栓塞并进行溶栓的效果。方法 回顾性分析 2003年6月至2007年4月，经病理学或细胞学确诊为恶性肿瘤，并于治疗前存在下肢深静脉血栓的20例患者，安放下腔静脉滤器后肺栓塞的发生情况，12例保留导管溶栓治疗。结果 下腔静脉滤器全部置入成功，溶栓治疗有效。随访1--24个月，滤器无移位，无肺栓塞发生。结论 对恶性肿瘤合并下肢深静脉血栓形成的患者放置下腔静脉滤器 可较好地预防肺栓塞发生。

Interventional therapy in malignant disease patients with deep venous thrombosis

Objective To study the effectiveness and safety of inserting an inferior vena cava filter to prevent the pulmonary embolism (PE) and practising thrombolysis. Methods Inferior vena cava(IVC) filter were placed in 20 patients with malignant tumor and deep venous thrombosis(DVT) from 06-2003 to 04-2007,and 12 patients with practising thrombolysis. Malignancy was confirmed by pathological or cellular biological examination in all cases. Results The filters implanting was successful in all cases, and thrombolysis achieved satisfactory effect. No serious pulmonary embolism occurred during the follow-up periods. Conclusion IVC filter placement in patients with venous thromboembolism and malignant disease as a safe and effective prophylactic method.