[1]肖 亮,申 景,黄德生,等.下腔静脉Ｇüｎｔｈｅｒ Ｔｕｌｉｐ滤器倾斜发生机制的体外研究[J].介入放射学杂志,2011,(05):393.
　XIAO Liang,SHEN Jing,HUANG De-sheng Huang,et al. Mechanism for the tilting of Günther Tulip inferior vena cava filter inserted via femoral vein: an experimental study in vitro[J].journal interventional radiology,2011,(05):393.
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下腔静脉Ｇüｎｔｈｅｒ Ｔｕｌｉｐ滤器倾斜发生机制的体外研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年05期
页码:
393
栏目:
实验研究
出版日期:
2011-05-30

文章信息/Info

Title:

Mechanism for the tilting of Günther Tulip inferior vena cava filter inserted via femoral vein: an experimental study in vitro

作者:
肖 亮;  申 景;  黄德生;  徐 克
110001  沈阳 中国医科大学附属第一医院放射科；基础医学院数学教研室
Author(s):

XIAO Liang;  SHEN Jing;  HUANG De-sheng Huang;  XU KE.

Department of Radiology, the First Clinical Hospital of China Medical University, Shenyang 110001, China
关键词:
倾斜;  机制;  Ｇüｎｔｈｅｒ Ｔｕｌｉｐ 滤器;  经股静脉;  体外实验
分类号:
Ｒ５４３.６
文献标志码:
A
摘要:
目的 采用体外下腔静脉（ＩＶＣ）模型探讨经股静脉Ｇüｎｔｈｅｒ Ｔｕｌｉｐ滤器（ＧＴＦ）置入发生倾斜的机制。方法 体外ＩＶＣ模型由悬吊于透明、分叉玻璃管中的１支直径２５ ｍｍ、长１０ ｃｍ涤纶人工血管及２支直径１０ ｍｍ、长１０ ｃｍ涤纶人工血管构成。经股静脉ＧＴＦ置入分为两组：右直组ＧＲＳ）（ｎ ＝ １００）和左直组ＧＬＳ （ｎ ＝１００）。测量并记录腔静脉右侧壁与钩的距离（ＤＣＨ），根据ＤＣＨ滤器倾斜程度（ＤＴ）分为５级。滤器释放前、后，分别测量各组金属罩杯与ＩＶＣ纵轴夹角（ＡＣＭ１，２）和腔静脉右侧壁与金属罩杯的距离（ＤＣＭ１，２）。另外还测量各组释放后ＩＶＣ纵轴与滤器纵轴夹角（ＡＣＦ）以及ＩＶＣ的直径（ＤＩＶＣ）。结果 每组ＧＴＦ的倾斜程度分布各不相同。ＧＲＳ中，滤器倾斜程度属于Ⅲ级的例数与ＧＬＳ中相应的例数差异有统计学意义（５９％与３６％， Ｐ ＝ ０ ．００３）。两组间大多数测量值差异有统计学意义。两组中ＡＣＭ１与ＡＣＦ，ＡＣＭ１ＡＣＭ２与ＤＣＨ１ＤＣＨ２之间均呈明显正相关；两组中ＤＣＨ１与ＡＣＦ之间呈明显负相关。结论 释放前滤器与ＩＶＣ的倾斜角是造成经股静脉ＧＴＦ置入后倾斜的主要原因。

参考文献/References:

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[2] 姚立正, 戴真煜, 李文会, 等. 腔静脉滤器在深静脉血栓治疗中的应用价值及置入体会[J]. 介入放射学杂志, 2007, 16: 737 - 739.
[3] Decousus H, Leizorovicz A, Parent F, et al. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prevention du Risque d’Embolie Pulmonaire par Interruption Cave Study Group[J]. N Engl J Med, 1998, 338: 409 - 415.
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[10] Neuerburg J, Günther RW, Rassmussen E,et al. New retrie-vable percutaneous vena cava filter: experimental in-vitro and in vivo evaluation[J]. Cardiovasc Intervent Radiol, 1993, 16: 224 - 229.
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备注/Memo

备注/Memo:
收稿日期：２０１００９２５
更新日期/Last Update: 2011-05-30