球囊扩张联合支架置入治疗Cockett综合征  

Balloon dilatation and stent placement in the treatment of Cockett syndrome

作　　者：王耿[1] 李孝虎[1] 庄佩佩 吴权辉[1] 

机构地区：[1]中山市中医院介入科,广东中山528400

出　　处：《影像诊断与介入放射学》2015年第3期233-237,共5页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨球囊扩张联合支架置入治疗Cockett综合征的临床疗效。方法将56例Cockett综合征患者分为2组,每组28例。联合治疗组采用球囊扩张联合支架置入治疗,对照组采用单纯球囊扩张治疗。比较两组患者临床疗效、不良反应、浅静脉曲张局部复发和髂总静脉再狭窄情况。结果联合治疗组治疗有效率82.1%,对照组为60.7%,联合治疗组显著高于对照组(P<0.05)。联合治疗组患者浅静脉曲张局部复发率为3.6%,对照组为21.4%,两组比较差异有显著性(P<0.05)。联合治疗组髂总静脉再狭窄率为0;对照组髂总静脉再狭窄率为14.3%,两组比较差异有显著性(P<0.05)。联合治疗组不良反应发生率为46.4%,对照组为39.3%,两组比较无统计学差异(P>0.05)。结论球囊扩张联合支架置入治疗Cockett综合征安全、可行,可有效降低髂总静脉再狭窄率。Objective To explore the effect of balloon dilatation combined with stent placement in the treatment of Cockett syndrome. Methods 56 patients with Cockett syndrome were treated with balloon dilatation and stent placement（28） or balloon dilatation alone（28）. The effectiveness, adverse reactions, local recurrent superficial varices and iliac vein restenosis were compared between the two treatment methods. Results The treatment effectiveness of the combined method（82.1%） was significantly higher（P〈 0.05） than that of balloon dilatation alone（60.7%）. The rates of recurrent superficial varicosity（3.6%） and iliac vein restenosis（0） were also significantly lower（P〈 0.05） using the combined treatment than that of balloon dilatation alone（21.4%,14.3%）. There was no significant difference in the incidence of adverse reactions（46.4%,39.3%） between the two treatment methods（P 〉0.05）. Conclusion Balloon dilatation combined with stent placement treatment of Cockett syndrome is safe and feasible with reduced rate of iliac vein restenosis.

关 键 词：骼总静脉压迫综合征 支架置入 球囊扩张 腔内介入治疗 

分 类 号：R543.6[医药卫生—心血管疾病]