球囊扩张联合支架置入在髂静脉压迫综合征中的疗效  

Efficacy of Balloon Angioplasty Combined with Stent Placement in Iliac Vein Compression Syndrome

作　　者：王贵荣 雷文娟 邱结华[3] WANG Guirong;LEI Wenjuan;QIU Jiehua(Department of General Surgery,Fuzhou Fifth Hospital,Fuzhou 344000,China)

机构地区：[1]抚州第五医院普外科,江西抚州344000 [2]抚州市立医院预防保健科,江西抚州344000 [3]南昌大学第二附属医院血管外科,江西南昌330006

出　　处：《中国医学创新》2025年第7期109-112,共4页Medical Innovation of China

摘　　要：目的:分析球囊扩张联合支架置入在髂静脉压迫综合征中的疗效。方法:选取2022年1月—2023年5月于抚州第五医院进行治疗的106例髂静脉压迫综合征患者为研究对象,进行回顾性分析。根据手术方法的不同分为两组,其中行单纯球囊扩张术为扩张组(n=43),行球囊扩张联合支架置入为联合组(n=63),对比两组肿胀和疼痛缓解率、静脉临床严重程度评分(VCSS)及并发症发生情况。结果:联合组和扩张组术后3个月肿胀缓解率、疼痛缓解率对比,差异均无统计学意义(P>0.05)。联合组和扩张组术前VCSS比较,差异无统计学意义(P>0.05);联合组和扩张组术后12个月VCSS均低于术前,差异均有统计学意义(P<0.05);且联合组术后12个月VCSS低于扩张组[(6.02±2.02)分vs(6.98±2.54)分],差异有统计学意义(P<0.05)。联合组并发症总发生率低于扩张组(0 vs 13.95%),差异有统计学意义(P<0.05)。结论:与行单纯球囊扩张术对比,球囊扩张联合支架置入在髂静脉压迫综合征治疗中,术后12个月VCSS较低,并发症总发生率较低。术后两组肿胀缓解率、疼痛缓解率无显著差异。Objective:To analyze the efficacy of balloon angioplasty combined with stent placement in iliac vein compression syndrome.Method:A retrospective analysis was conducted on 106 patients with iliac vein compression syndrome treated at Fuzhou Fifth Hospital from January 2022 to May 2023.Patients were divided into two groups based on different surgical methods:the dilation group(n=43)underwent balloon angioplasty alone,while the combined group(n=63)underwent balloon angioplasty combined with stent placement.The two groups were compared in terms of the rates of swelling and pain relief,venous clinical severity score(VCSS),and incidence of complications.Result:Comparison of swelling relief rate and pain relief rate at 3 months postoperatively between the combined group and the dilation group,the differences were not statistically significant(P>0.05).There was no statistically significant difference in preoperative VCSS between the combined group and the dilation group(P>0.05).However,the VCSS at 12 months postoperatively in both groups were lower than preoperative levels,with statistically significant differences(P<0.05).Additionally,the VCSS at 12 months postoperatively was lower in the combined group compared to the dilation group[(6.02±2.02)points vs(6.98±2.54)points],with a statistically significant difference(P<0.05).The overall incidence of complications in the combined group was lower than that in the dilation group(0 vs 13.95%),with a statistically significant difference(P<0.05).Conclusion:Compared with balloon angioplasty alone,balloon angioplasty combined with stent placement in the treatment of iliac vein compression syndrome has lower VCSS at 12 months postoperatively and a lower overall incidence of complications.There are no significant differences in rates of postoperative swelling relief and pain relief in two groups.

关 键 词：球囊扩张 支架置入 髂静脉压迫综合征 

分 类 号：R47[医药卫生—护理学]