腔内疗法治疗髂静脉受压综合征33例分析  

Endovascular treatment of lilac vein compression syndrome：analysis of 33 cases

作　　者：吴元兵[1] 朱云峰[1] 葛红卫[1] 朱永斌[1] 姜云飞[1] 陈诚[1] 黄一鸣[1] 

机构地区：[1]苏州大学附属第三医院血管外科,江苏常州213003

出　　处：《中国医师进修杂志》2014年第32期47-49,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨腔内疗法治疗髂静脉受压综合征的临床价值和疗效。方法33例髂静脉受压综合征患者采用左髂静脉球囊扩张及支架置入术治疗，其中左下肢静脉曲张伴肿胀29例，左下肢深静脉血栓形成3例，深静脉血栓形成后综合征1例。术中采用球囊直径10—12mm，直径12～14mm巴德自膨式支架。5例合并左下肢静脉曲张及溃疡者二期手术治疗。结果33例髂静脉受压综合征患者术前均经左下肢深静脉造影证实。无死亡病例，无穿刺部位血肿等并发症。随访3～30个月，随访率100％（33／33）。下肢肿胀消退28例，彩色多普勒超声和左下肢顺行造影显示支架通畅，无支架闭塞和下肢深静脉血栓形成病例。结论腔内疗法治疗髂静脉受压综合征是安全、有效并且是首选的治疗方法。Objective To evaluate the clinical effect of the endovascular treatment of iliac vein compression syndrome. Methods Thirty-three patients with iliac vein compression syndrome were treated with endovascular treatment. Of which, edema and varicose vein of the left lower extremity in 29 patients, complicated with acute deep vein thrombosis of left lower extremity in 3 patients, post deep venous thrombosis syndrome in I patient. Balloon dilatation and stent implantation were performed in all 33 patients. The diameter of balloon was 10 - 12 mm,diameter 12 - 14 mm Bard self expandable stent. Five patients with varicose vein and ulcer of left lower extremity were treated with two stage operation. Results The diagnosis was confirmed by left lower extremity deep veins angiography. There was no death patient, and no hematoma of hematoma locus. Follow-up for 3 - 30 months, the rate of follow-up was 100% （ 33/33 ）. The edema of the lower extremity was markedly reduced or disappeared in 28 patients. Color Doppler ultrasound and left lower extremity angiography showed that the stent was unobstructed, no stent occlusion and new onset thrombosis cases. Conclusion Endovascular treatment is safe, effective with few complications, and is the first choice for the treatment of iliac vein compression syndrome.

关 键 词：髂静脉受压综合征 腔内疗法 支架 

分 类 号：R654.4[医药卫生—外科学]