探讨下腔静脉滤网在髋关节骨折伴有下肢深静脉急性血栓形成患者中的应用价值。

回顾性收集2010年3月至2012年3月新疆维吾尔自治区人民医院收治的髋关节骨折合并下肢深静脉血栓患者15例，男性8例，女性7例，年龄65~82岁，平均年龄（73±5）岁。术前置入下腔静脉滤网后再行髋关节置换术，术后随访评价患者静脉血栓、Harris评分、影像学改善等情况。

所有患者均获得满意随访，随访时间1~12个月。15例患者均顺利完成手术，无一例发生肺栓塞及其他严重并发症。所有髋关节骨折患者均实现了骨性愈合，股骨柄稳定，均未见松动。血常规、血沉及C反应蛋白均未见感染征象。Harris评分由术前的（16±12）分提高至末次随访的（86±6）分，差异有统计学意义（t=-36.594，P<0.001）。所有患者均未见滤器周围血栓形成及相关并发症。其中10例血栓消失，5例血栓缩小，术后患者功能恢复满意。

术前下腔静脉滤网植入应用于伴有下肢深静脉急性血栓的髋关节置换术，可提高手术的安全性，帮助患者早日下床活动，提高患者生活质量。

To investigate the value of inferior vena cava filter in the treatment of hip fracture with acute deep vein thrombosis.

A retrospective study was conducted on 15 patients with hip fracture complicated with deep venous thrombosis in the the Xinjiang Uygur Autonomous Region people's Hospital from March 2010 to March 2012. There were 8 males and 7 females, aged 65-82 years, with an average age of (73±5) years. The inferior vena cava filter was inserted, and then the hip replacement was performed. After the operation, the postoperative venous thrombosis, Harris score and imaging improvement were evaluated.

All patients were followed up for 1 to 12 months and successfully completed the operation without pulmonary embolism and other serious complications. The rotor fractures all achieved bone healing, the femoral shaft was stable, no loosening. Blood routine, ESR and CRP showed no signs of infection. The Harris score increased from preoperative (16±12) to the last follow-up (86±6), and the difference was statistically significant (t=-36.594, P<0.001). No thrombosis around the filter and related complications were found in all patients. Ten cases of thrombosis disappeared, 5 cases of thrombosis reduced, postoperative functional recovery satisfaction.

Preoperative placement of inferior vena cava filter for hip replacement with acute deep venous thrombosis can improve the safety of operation, help patients get out of bed early and improve their quality of life.