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莫宾-乌丁腔静脉滤器的临床经验。

Clinical experience with the Mobin-Uddin vena cava umbrella filter.

作者信息

Menzoian J O, LoGerfo F W, Weitzman A F, Ezpeleta M, Sequeira J C

出版信息

Arch Surg. 1980 Oct;115(10):1179-81. doi: 10.1001/archsurg.1980.01380100027006.

DOI:10.1001/archsurg.1980.01380100027006
PMID:7425828
Abstract

The Mobin-Uddin vena cava filter has been used at Boston University Medical Center since 1971. The umbrella filter has been placed in 128 high-risk patients with a mean age of 60 years, 42% of whom had malignancies. The operative morbidity consists of five wound hematomas, one misplaced umbrella, one retroperitoneal hematoma, and one acute vena cava occlusion, with a total operative morbidity of 6.2%. No patients died of the actual pacement, and the 30-day hospital mortality was 7.0%. Late sequaelae included an incidence of mild edema of 6% and severe edema of 16%. We know of no patients in our series who had recurrent pulmonary embolism. In our experience, the Mobin-Uddin vena cava umbrella filter is a safe, effective method of vena cava interruption in a high-risk population with a low operative morbidity and a low 30-day mortality.

摘要

自1971年以来,莫宾 - 乌丁腔静脉过滤器一直在波士顿大学医学中心使用。该伞形过滤器已应用于128例高危患者,平均年龄60岁,其中42%患有恶性肿瘤。手术并发症包括5例伤口血肿、1例伞形过滤器放置位置不当、1例腹膜后血肿和1例急性腔静脉闭塞,总手术并发症发生率为6.2%。没有患者死于实际放置过程,30天医院死亡率为7.0%。晚期后遗症包括6%的轻度水肿发生率和16%的重度水肿发生率。在我们的系列病例中,没有患者发生复发性肺栓塞。根据我们的经验,莫宾 - 乌丁腔静脉伞形过滤器是一种安全、有效的腔静脉阻断方法,适用于高危人群,手术并发症发生率低,30天死亡率低。

相似文献

1
Clinical experience with the Mobin-Uddin vena cava umbrella filter.莫宾-乌丁腔静脉滤器的临床经验。
Arch Surg. 1980 Oct;115(10):1179-81. doi: 10.1001/archsurg.1980.01380100027006.
2
[Ligation of the inferior vena cava and the Mobin-Uddin filter in the treatment of recurrent pulmonary embolism. Comparative study].[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]
Arch Inst Cardiol Mex. 1982 Sep-Oct;52(5):419-24.
3
Inferior vena cava ligation versus the Mobin-Uddin filter for prevention of recurrent pulmonary embolism.下腔静脉结扎术与莫宾-乌丁过滤器预防复发性肺栓塞的比较
Int Surg. 1977 Aug;62(8):420-5.
4
Transvenous interruption of the inferior vena cava.经静脉下腔静脉阻断术
Surgery. 1983 May;93(5):612-9.
5
Greenfield filter versus Mobin-Uddin umbrella: the continuing quest for the ideal method of vena caval interruption.格林菲尔德滤器与莫宾-乌丁伞:对腔静脉阻断理想方法的持续探索。
J Thorac Cardiovasc Surg. 1980 Mar;79(3):358-65.
6
[Caval interruption operations for prevention of lung embolism].
Zentralbl Chir. 1985;110(24):1507-14.
7
Interruption of the inferior vena cava for the prevention of recurrent pulmonary embolism.中断下腔静脉以预防复发性肺栓塞。
Am Surg. 1985 Jul;51(7):375-80.
8
[Recurrent lung embolies: prevented by interruption of the vena cava with a Mobin-Uddin umbrella filter].[复发性肺栓塞:用莫宾-乌丁伞形滤器阻断腔静脉预防]
Schwest Rev. 1977 Jul 15;15(7):12-3.
9
Spontaneous fatal perforation of aorta and vena cava by Mobin-Uddin umbrella.
Am J Forensic Med Pathol. 1989 Jun;10(2):149-51. doi: 10.1097/00000433-198906000-00012.
10
[Lumbar spondylodiscitis after insertion of a Mobin-Uddin caval "umbrella" filter (author's transl)].插入莫宾-乌丁腔静脉“伞”式过滤器后发生的腰椎椎体骨髓炎(作者译)
Nouv Presse Med. 1981 Dec 12;10(45):3715-6.

引用本文的文献

1
Indications for vena caval fenestration.腔静脉开窗术的适应症。
West J Med. 1984 Apr;140(4):573-4.
2
[Thrombectomy with AV fistula in embolizing deep venous thrombosis--better therapeutic concepts].[动静脉内瘘取栓术治疗深部静脉血栓形成——更好的治疗理念]
Langenbecks Arch Chir. 1986;369:603-7. doi: 10.1007/BF01274445.