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髂静脉压迫综合征的诊断与治疗

张伟 刘洪 赵渝

中国实用外科杂志2023,Vol.43Issue(12):1429-1431,1435,4.
中国实用外科杂志2023,Vol.43Issue(12):1429-1431,1435,4.DOI:10.19538/j.cjps.issn1005-2208.2023.12.21

髂静脉压迫综合征的诊断与治疗

Diagnosis and treatment of Iliac vein compression syn-drome

张伟 1刘洪 1赵渝1

作者信息

  • 1. 重庆医科大学附属第一医院血管外科,重庆 400016
  • 折叠

摘要

Abstract

Iliac vein compression syndrome(IVCS)has gained significant attention as a peripheral venous disease in recent years.Clinically it can be classified into three types:asymp-tomatic chronic venous insufficiency and acute iliofemoral ve-nous thrombosis.The diagnosis of IVCS primarily relies on im-aging examinations with commonly used methods including color Doppler ultrasound(CDU)intravascular ultrasound(IVUS)digital subtraction angiography(DSA)computed tomog-raphy venography(CTV)and magnetic resonance venography(MRV).Among these ultrasound CTV and MRV play crucial roles in the diagnosis of IVCS.The choice of appropriate diag-nostic methods should be based on specific situations.Treat-ment methods for IVCS mainly include conservative and surgi-cal approaches.Surgical treatment primarily involving balloon dilation and stent implantation effectively relieves iliac vein outflow obstruction alleviates symptoms of chronic venous in-sufficiency and prevents deep vein thrombosis formation.There are still some controversies regarding the indications for surgical treatment stent selection and postoperative manage-ment necessitating further clinical research and consensus for-mation.

关键词

髂静脉压迫综合征/影像学检查/球囊扩张/支架植入

Key words

iliac vein compression syndrome/imaging exami-nation/balloon dilation/stent implantation

分类

医药卫生

引用本文复制引用

张伟,刘洪,赵渝..髂静脉压迫综合征的诊断与治疗[J].中国实用外科杂志,2023,43(12):1429-1431,1435,4.

基金项目

重庆市科卫联合医学科研项目(No.2022MSXM077) (No.2022MSXM077)

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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