下肢深静脉血栓形成后综合征的微创治疗  

Endovascular Treatment for Deep Vein Post-thrombotic Syndrome of Lower Extremity

作　　者：赵堂海[1] 郭明金[1] 张杰[1] 逄晓军[1] 战激光[1] 秦少华[1] 

机构地区：[1]山东省烟台市解放军第107医院血管外科,烟台264002

出　　处：《中国微创外科杂志》2013年第7期638-640,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨下肢深静脉血栓形成后综合征(post-thrombotic syndrome,PTS)的微创治疗效果。方法 2005年1月～2011年12月对262例275条肢体PTS行局部麻醉下血管腔内微创介入治疗,选择股静脉或腘静脉作为穿刺点,穿刺成功后行血管造影,根据造影结果对病变部位行血管腔内成形或血管成形联合支架置入术,其中经皮血管腔内成形74条肢体,血管成形联合支架置入201条肢体。结果 268条肢体(97.4%)闭塞血管完全开通,恢复正常的血液回流;7条肢体左髂总静脉段未能完全开通。240例(91.6%)253条肢体随访8～96个月,(48.3±20.2)月,其中完全缓解94条肢体(37.2%,94/253),明显缓解152条肢体(60.1%,152/253),轻度缓解7条肢体(2.8%,7/253)。结论血管腔内微创介入治疗PTS创伤小、疗效可靠。Objective To evaluate the effects of endovascular treatment for deep vein post-thrombotic syndrome（PTS） of lower extremity.Methods From January 2005 to December 2011,the clinical data of 262 patients（275 limbs） with PTS were analyzed retrospectively.All the patients underwent endovascular treatment under local anesthesia.Femoral vein or popliteal vein was chosen as the puncture point and angiography was performed after the puncture.Based on the angiography results,percutaneous transluminal angioplasty（PTA） or PTA combined with stent implantation was performed.Among them,74 limbs underwent PTA and 201 limbs received PTA combined with stent implantation.Results Based on intraoperative angiography,the obstructed iliofemoral vein recanalization occurred in 268 limbs（97.4%）and partial recanalization in 7 limbs with the entrance of common iliac vein to inferior vena cava obstructed.Of the 262 cases,240 cases（253 limbs） were followed up for 8-96 months,with a mean of（48.3±20.2） months.Complete remission was found in 94 limbs（37.2%,94/253）,obvious remission in 152 limbs（60.1%,152/253）and partial remission in 7 limbs（2.8%,7/253）.Conclusion Endovascular treatment is a minimally-invasive,safe and effective method for PTS.

关 键 词：深静脉血栓形成后综合征 血管腔内成形术 支架 

分 类 号：R654.3[医药卫生—外科学]