上海交通大学血管病诊治中心200011
【摘要】下腔静脉血栓形成(IVCT)是目前公认的具有显著发病率和死亡率的严重疾病之一。布加综合征等先天性狭窄或发育畸形是是以往IVCT发生的主要原因,但由于近十年来下腔静脉滤器植入数量的不断增多,留在人体的滤器数量居高不下,因而滤器相关的下腔静脉血栓形成反而渐渐成为历史的主流。随着介入技术的不断发展,IVCT的治疗也成功的实现了由开放向腔内的历史转变。本文综合国内外现状,并结合个人的诊治体会,对IVCT的历史演变作一述评。
【关键词】下腔静脉;血栓;肺栓塞;布加综合征;滤器
Inferior Vena Cava Thrombosis: the Historical Evolution
[Abstract] Inferior vena cava thrombosis (IVCT) is recognized as one of the serious diseases with significant morbidity and mortality. Congenital stenosis or abnormalities,such ad Budd-Chiari syndrome, is the main reason for the occurrence of IVCT previously. Due to the substantial increase in the number of IVC filters placed in the body and the very low filter retrieval rates in the past ten years, filter-bearing inferior vena cava thrombosis gradually become the mainstream of history. With the continuous development of interventional technology, the treatment of IVCT has successfully changed from the open to the endovascular surgery. In this paper, based on the