Value of inferior vena cava filter implantation combined with PMT and balloon dilation in the treatment of elderly patients with hip fractures complicated with iliofemoral vein thrombosis
Objective To explore the value of inferior vena cava filter implantation combined with percutaneous mechanical thrombectomy(PMT)and balloon dilation in the treatment of elderly patients with hip fractures complicated with iliofemoral vein thrombosis.Methods One hundred and twenty-one elderly patients with hip fractures complicated with iliofemoral vein thrombosis who were hospitalized in the Second People's Hospital of Yueqing City and Wenzhou Central Hospital from June 2021 to January 2023 were randomly divided into combined group(61 cases)and conven-tional group(60 cases).Both groups received general anticoagulation and compression treatment,and the conventional group was given inferior vena cava filter implantation plus PMT treatment,and the combined group was combined with balloon dilatation on the basis of the conventional group.After 2 months of treatment,the venous patency score,thrombus clearance rate,Villalta score,incidence rate of post-thrombotic syndrome(PTS),laboratory indicators[red blood cell(RBC),hemoglobin(Hb),D-dimer,fibrinogen(FIB)],occurrence of complications were compared between the two groups.Results Before treatment,there was no statistically significant difference in venous patency score between con-ventional group and combined group(P＞0.05).After 2 months of treatment,the venous patency score in both groups was decreased,and the score in combined group was lower compared with that in conventional group(P＜0.05).The thrombus clearance rate in combined group after 2 months of treatment was higher than that in conventional group(P＜0.05).After 2 months of treatment,the Villalta score was lower in combined group than that in conventional group(P＜0.05).The total incidence rate of mild-to-moderate PTS in combined group was lower than that in conventional group(P＜0.05).There were no statistically significant differences in blood indicators between the two groups before treat-ment(P＞0.05).Serum D-dimer and FIB levels in the two groups were decreased after treatment,and the levels in combined group were lower than those in conventional group(P＜0.05).During treatment,the incidence rates of com-plications such as hemorrhage,hematoma and hematuria in combined group were lower than those in conventional group,and the total incidence rate was lower than that in conventional group(P＞0.05).Conclusions Inferior vena cava fil-ter implantation combined with PMT combined with balloon dilation can effectively remove the venous thrombosis and al-leviate the disease condition in patients with hip fractures complicated with iliofemoral vein thrombosis.
Hip fracturesVenous thromboembolismVena cava filtersAngioplasty,balloonAged
维普
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