髂静脉压迫综合征并下肢深静脉血栓的腔内治疗  

Endovascular treatment of iliac Vein compression syndrome complicated with lower limb deep venous thrombosis

作　　者：李光泽[1] 张济[1] 俞慎林[1] Li Guangze;Zhang Ji;Yu Shenlin(Leshan People's Hospital,Leshan,Sichuan 614000,China)

机构地区：[1]乐山市人民医院,四川乐山614000

出　　处：《医药前沿》2020年第1期49-51,共3页Journal of Frontiers of Medicine

摘　　要：目的:分析髂静脉压迫综合征并下肢深静脉血栓的腔内治疗效果。方法:抽取本院2017年10月-2018年10月收治的髂静脉压迫综合征并下肢深静脉血栓患者32例,所有患者均采用腔内治疗的方式,观察患者的治疗效果、并发症发生率、预后情况。结果:患者疼痛缓解率87.50%、肿胀缓解率90.63%、血栓清除率96.88%、治疗有效率96.88%。患者动静脉瘘发生率3.13%、血管破裂发生率3.13%,未见感染及变形。治疗后,患者疼痛(1.22±0.23)分、生活质量(89.60±0.80)分、Villalta(5.00±0.06)分,与治疗前相比差异显著(P<0.05)。结论:髂静脉压迫综合征并下肢深静脉血栓患者给予腔内治疗,可提高髂静脉压迫综合征并下肢深静脉血栓患者的血栓清除率,减少并发症,减轻疼痛,提高患者的生活质量。Objective To explain the endovascular treatment of iliac vein compression syndrome complicated with lower extremity deep vein thrombosis and observe the therapeutic effect.MethodsThe patients with iliac vein compression syndrome complicated with lower extremity deep vein thrombosis admitted to our hospital were taken as samples.All patients were treated with endovascular therapy,and the therapeutic effect,complication rate and prognosis of the patients were observed.ResultsIn 32 patients,pain relief rate was 87.50%,swelling relief rate was 90.63%,thrombus clearance rate was 96.88%,treatment effective rate was 96.88%.The incidence of arteriovenous fistula and vascular rupture were 3.13%and 3.13%respectively.After treatment,the pain score(1.22±0.23)and the quality of life(89.60±0.80)score,Villalta(5.00±0.06)were significantly different from those before treatment(P<0.05).ConclusionEndovascular treatment can improve the thrombus clearance rate,reduce complications,relieve pain and improve the quality of life of patients with iliac vein compression syndrome complicated with lower limb deep vein thrombosis.

关 键 词：髂静脉压迫综合征 下肢深静脉血栓 腔内治疗 

分 类 号：R658[医药卫生—外科学]