同济大学学报（医学版）2017，Vol.38Issue(5)：58-62,5.DOI:10.16118/j.1008-0392.2017.05.012
非血栓性髂静脉压迫性病变的血管腔内治疗
Endovascular treatment for nonthrombotic iliac vein compression lesions
王翔 1陈国君 1洪毅 1周斌 1葛进 1李钦传1
作者信息
- 1. 同济大学附属东方医院血管外科,上海200120
- 折叠
摘要
Abstract
Objective To evaluate the feasibility,efficacy and safety of endovascular treatment for nonthrombotic iliac vein compression lesions (NIVCL).Methods Clinical data of 89 patients with NIVCL receiving endovascular treatment from Feb 2011 to Jun 2015 were retrospectively analyzed.Among 89 cases,there were 48 males and 41 female with mean of 55.9 (30-73) year.The lesions were located in the left lower extremity in 68 cases,in the right side in 17 cases and in both sides in 4 cases.All patients underwent angioplasty and the venous self-expanding stents were implanted.Eighty cases with severe varicose veins were treated with great saphenous vein high ligation and stripping afterwards.Results The success rate of operation was 100％ and the primary patency rate of stents was 100％.The mean follow-up time was 15.7 (14-48) months.The relief rate of limb edema was 89.0％ (73/82),the healing rate of active ulcers was 94.1％ (16/17),and the pain relief rate 82.6％ (19/23).The varicose veins recrudesced in one case 1 year after intervention,and were treated by sclerotherapy.Superficial thrombophlebitis occurred in one case 3 months after intervention,and was treated by anticoagulation and antibiotics.No deep venous thrombosis (DVT)or interventionrelated complications were observed after treatments.Conclusion Endovascular treatment is a safe,feasible and effective therapy for NIVCL before the disease advances to deep venous thrombosis.关键词
血管腔内治疗/支架/髂静脉受压综合征/血管成形术/May-Thurner综合征Key words
endovascular therapy/stent/iliac vein compression syndrome/angioplasty/May-Thurner syndrome分类
医药卫生引用本文复制引用
王翔,陈国君,洪毅,周斌,葛进,李钦传..非血栓性髂静脉压迫性病变的血管腔内治疗[J].同济大学学报（医学版）,2017,38(5):58-62,5.
