[1]余海洋,游德淑,杨代斌,等.下腔静脉基于圆周长的直径与投照横径临床对比研究[J].介入放射学杂志,2022,31(12):1165-1169.
 YU Haiyang,YOU Deshu,YANG Daibin,et al.The inferior vena cava diameter obtained from the calculation of its circumference and its transverse diameter obtained from the projection measurement: a clinical comparison study[J].journal interventional radiology,2022,31(12):1165-1169.
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下腔静脉基于圆周长的直径与投照横径临床对比研究()

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

卷:
31
期数:
2022年12
页码:
1165-1169
栏目:
血管介入
出版日期:
2023-01-11

文章信息/Info

Title:
The inferior vena cava diameter obtained from the calculation of its circumference and its transverse diameter obtained from the projection measurement: a clinical comparison study
作者:
余海洋 游德淑 杨代斌 何光远 潘昌杰 贾中芝
Author(s):
YU Haiyang YOU Deshu YANG Daibin HE Guangyuan PAN Changjie JIA Zhongzhi.
Department of Interventional and Vascular Surgery, Affiliated Changzhou Municipal No.2 People’s Hospital of Nanjing Medical University, Changzhou, Jiangsu Province 213003, China
关键词:
【关键词】 下腔静脉 分型 直径 滤器对比研究
文献标志码:
A
摘要:
【摘要】 目的 探讨下腔静脉(IVC)基于圆周长的直径(CD)与前后位投照横径(PD)的差异。方法 前瞻性收集2021年1月至2月在常州第二人民医院接受腹部CT检查患者的临床和影像资料。根据IVC影像分为5型(Ⅰ型:椭圆形,长轴与水平线成一定角度;Ⅱ型:正圆形;Ⅲ型:垂直长轴直径大于水平长轴直径的椭圆形;Ⅳ型:IVC水平长轴与水平线平行的椭圆形;Ⅴ型:不规则形状)。采用圆周长公式计算CD,前后位投照获得PD(在CT横断位模拟)。分析CD与患者性别、年龄、身高、体质量及体质量指数(BMI)的相关性。结果 共纳入516例患者,其中男286例(55.4%),年龄(58.4±14.1)岁。PD、CD分别为(20.93±3.21) mm、(19.36±2.58) mm(P<0.01)。IVC影像分型Ⅰ型371例(71.9%),PD>CD[(21.04±3.02) mm比(19.43 ± 2.42) mm,P<0.01];Ⅱ型18例(3.5%), PD≈CD[(20.26±2.19) mm比(20.11 ± 1.90) mm,P=0.224];Ⅲ型11例(2.1%),PD<CD[(16.18±3.07) mm比(18.58±3.11) mm,P<0.01];Ⅳ型25例(4.8%),PD>CD[(22.68±3.12) mm比(19.96±2.58) mm, P<0.01];Ⅴ型91例(17.6%),PD>CD[(20.69±3.60) mm比(18.85±3.15) mm,P<0.01]。男性CD值大于女性[(19.79±2.63) mm比(18.83±2.41) mm,P<0.01]。CD影响因素分析显示, CD与年龄呈负相关,与身高、体质量呈正相关,与BMI无关。结论 正圆形IVC(Ⅱ型)少见,96.5%患者CD比PD能更好地反映IVC真实直径。大多数临床情况下,依据PD选择滤器可能加重滤器与IVC不匹配程度,CD值对于选择滤器具有一定的参考价值。

参考文献/References:

[1] Kakkos SK, Gohel M, Baekgaard N, et al. Editor’s Choice- European Society for Vascular Surgery(ESVS) 2021 clinical practice guidelines on the management of venous thrombosis[J]. Eur J Vasc Endovasc Surg, 2021, 61: 9- 82.
[2] Sutedjo J, Li Y, Gu J. Manual aspiration thrombectomy for acute and subacute inferior vena cava thrombosis and lower extremity deep venous thrombosis[J]. J Interv Med, 2018, 1: 197- 204.
[3] Walker JA, Milam M, Lopera JE. Comparative outcomes of inferior vena cava filters placed at bedside using digital radiography versus conventional fluoroscopy[J]. J Interv Med, 2021, 4: 139- 142.
[4] Jia Z, Wu A, Tam M, et al. Caval penetration by inferior vena cava filters: a systematic literature review of clinical significance and management[J]. Circulation, 2015, 132: 944- 952.
[5] 胡蓝月, 顾建平, 楼文胜. 下腔静脉滤器置入后并发症及其防治的研究进展[J]. 介入放射学杂志, 2014, 23: 645- 649.
[6] Durack JC, Westphalen AC, Kekulawela S, et al. Perforation of the IVC: rule rather than exception after longer indwelling times for the Günther Tulip and Celect retrievable filters[J]. Cardiovasc Intervent Radiol, 2012, 35: 299- 308.
[7] Proctor MC, Greenfield LJ, Cho KJ,et al. Assessment of apparent vena caval penetration by the Greenfield filter[J]. J Endovasc Surg, 1998, 5: 251- 258.
[8] Xiao YD, Zhang ZS, Ma C. Cavographic vs. cross- sectional measurement of the inferior vena cava diameter before filter placement: are we routinely oversizing?[J]. Eur Radiol, 2019, 29: 3281- 3286.
[9] Ayad MT, Gillespie DL. Long- term complications of inferior vena cava filters[J]. J Vasc Surg Venous Lymphat Disord, 2019, 7: 139- 144.
[10] Mookadam F, Warsame TA, Yang HS, et al. Effect of positional changes on inferior vena cava size[J]. Eur J Echocardiogr, 2011, 12: 322- 325.
[11] Nakao S, Come PC, Mckay RG, et al. Effects of positional changes on inferior vena caval size and dynamics and correlations with right- sided cardiac pressure[J]. Am J Cardiol, 1987, 59: 125- 132.
[12] Masugata H, Senda S, Okuyama H, et al. Age- related decrease in inferior vena cava diameter measured with echocardiography[J]. Tohoku J Exp Med, 2010, 222: 141- 147.
[13] 杨 帆,刘庆春,陈巧珠,等. 超声测量健康人群下腔静脉内径与个体因素的相关性分析[J]. 中国中西医结合影像学杂志, 2016, 14: 420- 422.

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备注/Memo

备注/Memo:
(收稿日期:2021- 10- 28)
(本文编辑:边 佶)
更新日期/Last Update: 2023-01-11