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[下腔静脉结扎术与莫宾-乌丁滤器治疗复发性肺栓塞的比较研究]

[Ligation of the inferior vena cava and the Mobin-Uddin filter in the treatment of recurrent pulmonary embolism. Comparative study].

作者信息

Verdejo París J, Pinto R O, Lupi Herrera E, Seoane M, Bialostozky D

出版信息

Arch Inst Cardiol Mex. 1982 Sep-Oct;52(5):419-24.

PMID:7149863
Abstract

Twenty six cases of inferior vena cava interruption for the treatment of recurrent pulmonary embolism are reviewed. Ten patients were treated with inferior vena cava ligation while in the other 16 a Mobin-Uddin umbrella was placed. The recent and late complications of both groups were analyzed. The most common complication of the inferior vena cava ligation was edema of the lower extremities in 40% of the patients. In the Mobin-Uddin group, the most frequent complication was the recurrence of thrombophlebitis in lower limbs, that appeared in 50% of the cases studied. We conclude that inferior vena cava ligation may be more beneficial to these patients because the long term complications are fewer in number and severity.

摘要

回顾了26例采用下腔静脉阻断术治疗复发性肺栓塞的病例。10例患者接受了下腔静脉结扎术,另外16例植入了莫宾-乌丁伞。分析了两组近期和远期并发症。下腔静脉结扎术最常见的并发症是40%的患者出现下肢水肿。在莫宾-乌丁伞组,最常见的并发症是下肢血栓性静脉炎复发,在所研究病例中有50%出现该情况。我们得出结论,下腔静脉结扎术可能对这些患者更有益,因为其长期并发症在数量和严重程度上都更少。

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