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中华介入放射学电子杂志 ›› 2019, Vol. 07 ›› Issue (04) : 322 -329. doi: 10.3877/cma.j.issn.2095-5782.2019.04.013

所属专题: 文献

综述

恶性肿瘤相关静脉血栓栓塞症及治疗进展
武贝1, 陈国平2, 顾建平2,()   
  1. 1. 210009 南京医科大学附属肿瘤医院(江苏省肿瘤医院)介入科
    2. 210006 南京医科大学附属南京医院(南京市第一医院)介入科
  • 收稿日期:2019-09-06 出版日期:2019-11-01
  • 通信作者: 顾建平
  • 基金资助:
    江苏省临床医学科技专项项目"急性下肢深静脉血栓形成介入诊疗规范化研究"(BL2014013)

Progress in Malignant tumor related venous thromboembolismand its treatment

Bei Wu1, Guoping Chen2, Jianping Gu2()   

  • Received:2019-09-06 Published:2019-11-01
  • Corresponding author: Jianping Gu
引用本文:

武贝, 陈国平, 顾建平. 恶性肿瘤相关静脉血栓栓塞症及治疗进展[J]. 中华介入放射学电子杂志, 2019, 07(04): 322-329.

Bei Wu, Guoping Chen, Jianping Gu. Progress in Malignant tumor related venous thromboembolismand its treatment[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2019, 07(04): 322-329.

肿瘤相关血栓形成(CAT)是肿瘤患者常见的并发症,也是肿瘤患者高发病率和高死亡率的重要原因。肿瘤类型、分期、肿瘤衍生因子和遗传因素及抗肿瘤治疗均可增加CAT的风险。正确识别和治疗高风险CAT对提高肿瘤患者的生存率至关重要。目前指南建议低分子肝素(LMWH)作为CAT长期抗凝治疗的首选,但长期使用存在一些实际问题。新型口服抗凝剂(NOACs)在肿瘤患者治疗中的疗效和安全性数据有限。125I粒子条联合血管支架已成为CAT腔内治疗新的研究热点,已发表的数据较少,主要是个案报道和小样本研究,需要进一步的研究来更新和改进CAT风险评估和治疗指南。

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