髂静脉内支架植入术治疗深静脉血栓后综合征的疗效分析  

Analysis of the Efficacy of Iliac Vein Stenting in the Deep Vein Post-thrombotic Syndrome

作　　者：苏兴旺[1] 袁土养 徐孝友 刘永东[1] 何山 孙立伶[1] SU Xingwang;YUAN Tuyang;XU Xiaoyou;LIU Yongdong;HE Shan;SUN Liling(Vascular Surgery Department,Liuzhou Liutie Central Hospital,Liuzhou 545000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]柳州市柳铁中心医院血管外科,广西柳州545000

出　　处：《中外医疗》2024年第21期77-80,共4页China & Foreign Medical Treatment

摘　　要：目的对髂静脉支架治疗深静脉血栓后综合征疗效进行评价。方法回顾性选取2020年1月—2023年6月柳州市柳铁中心医院收治的68例深静脉血栓后综合征(post-thrombotic syndrome,PTS)患者临床资料,根据其治疗方式分为支架治疗组(40例)和保守治疗组(28例)。支架治疗组行髂静脉球囊扩张成型支架置入术治疗,保守治疗组行保守治疗,比较两组患者Villalta评分、血管通畅率。结果治疗前,两组患者Villalta评分比较,差异无统计学意义(P>0.05);治疗后,两组患者术后3个月、6个月、12个月Villalta评分较术前均降低,且支架治疗组患者术后3个月、6个月Villalta评分(10.81±2.97)分、(8.62±2.68)分均低于保守治疗组的(12.54±3.81)分、(9.81±1.64)分,差异有统计学意义(t=2.103、2.089,P均<0.05)。支架治疗组患者治疗3个月、6个月和12个月的血管通畅率80.00%(32/40)、90.00%(36/40)和95.00%(38/40)均高于对照组的57.14%(16/28)、67.86%(19/28)、75.00%(21/28),差异有统计学意义(P均<0.05)。结论髂静脉内支架植入术治疗下肢静脉闭塞性疾病可以提高术后静脉血管通畅率,减轻下肢临床症状,提高患者术后生活质量。Objective To evaluate the efficacy of iliac vein stenting in the treatment of post-thrombotic syndrome.Methods The clinical data of 68 patients with post-thrombotic syndrome(PTS)admitted to Liuzhou Liutie Central Hospital from January 2020 to June 2023 were retrospectively collected.According to their treatment methods,they were divided into stent treatment group(40 cases)and conservative treatment group(28 cases).The stent treatment group was treated with iliac vein balloon dilatation stent implantation,and the conservative treatment group was treated with conservative treatment.The Villalta score and vascular patency rate were compared between the two groups.Results Before treatment,there was no significant difference in Villalta score between the two groups(P>0.05).After treatment,the Villalta scores of the two groups at 3 months,6 months and 12 months after operation were lower than those before operation,and the Villalta scores of the stent treatment group at 3 months and 6 months after operation were(10.81±2.97)points and(8.62±2.68)points,respectively,which were lower than the conservative treatment group's(12.54±3.81)points and(9.81±1.64)points,the differences were statistically significant(t=2.103,2.089,all P<0.05).The vascular patency rates 80.00%(32/40),90.00%(36/40)and 95.00%(38/40)of the stent treatment group at 3 months,6 months and 12 months after treatment were higher than 57.14%(16/28),67.86%(19/28),75.00%(21/28)of the control group,and the differences were statistically significant(all P<0.05).Conclusion Iliac vein stent implantation in the treatment of lower extremity venous occlusive diseases can improve the postoperative venous patency rate,reduce the clinical symptoms of lower limbs,and improve the postoperative quality of life of patients.

关 键 词：髂静脉支架置入 下肢静脉闭塞性疾病 Villalta评分 血管通畅率 

分 类 号：R543[医药卫生—心血管疾病]