中国普通外科杂志2016，Vol.25Issue(12)：1751-1756,6.DOI:10.3978/j.issn.1005-6947.2016.12.014
腔内治疗髂静脉受压综合征的疗效分析
Efficacy analysis of endovascular therapy for iliac vein compression syndrome
张安冬 1高涌 1聂中林 1余朝文 1陈世远 1王孝高 1徐超1
作者信息
- 1. 蚌埠医学院第一附属医院血管外科，安徽蚌埠233004
- 折叠
摘要
Abstract
Objective:To investigate the clinical efficacy of endovascular therapy for iliac vein compression syndrome (IVCS). <br> Methods:hTe clinical data of 244 patients with IVCS undergoing endovascular treatment from January 2014 to December 2015 were retrospectively analyzed. <br> Results:No surgical death occurred in the entire group, and endovascular treatment was abandoned in one case due to complete occlusion of the left iliac vein, so the technical success rate was 99.6%(243/244). Of the 243 patients, 94 cases underwent balloon dilatation alone, and 149 cases received balloon dilatation with stent implantation;175 cases with varicose veins of lower limbs were subjected to a second stageoperation. Two hundred and twenty-four patients were followed up for 3 to 27 months, during which time, no relapse of varicose veins was observed;the lower limb swelling was alleviated with varying degrees in all patients, and the treatment effective rate was 100%;hyperpigmentation was reduced with varying degrees in 63 patients, and alleviation or healing was seen in 30 patients with venous ulcer. The rate of complete relief of the left lower limb swelling, complete ulcer healing and restenosis or thrombosis formation in the iliac vein showed no signiifcant difference on postoperative 6 months between patients undergoing balloon dilatation alone and balloon dilatation plus stent implantation (96.0%vs. 99.0%, 84.6%vs. 100.0%and 5.3%vs. 2.0%, all P>0.05), but were signiifcantly better in the latter than the former on postoperative 12 and 24 months (70.0%vs. 96.0%, 61.5%vs. 94.1%and 12.8%vs. 2.0%;60.9%vs. 94.8%, 53.8%vs. 94.1%and 23.5%vs. 2.1%, all P<0.05). <br> Conclusion:In treatment of IVCS, endovascular therapy offers favorable short-and mid-term effcacy and the mid-term effcacy of balloon dilatation plus stenting is better than that of balloon dilatation alone. Selection of the suitable type, diameter and length of stents, accurate and appropriate stent placement, and regular and suffcient anticoagulant therapy have great importance for better long-term results.关键词
May-Thurner综合征/髂静脉/血管内操作Key words
May-hTurner Syndrome/Iliac Vein/Endovascular Procedures分类
医药卫生引用本文复制引用
张安冬,高涌,聂中林,余朝文,陈世远,王孝高,徐超..腔内治疗髂静脉受压综合征的疗效分析[J].中国普通外科杂志,2016,25(12):1751-1756,6.
