摘要
目的探讨介入治疗对Cockett综合征伴下肢深静脉血栓形成的临床价值。资料与方法对2003年12月至2007年7月收治的37例Cockett综合征伴下肢深静脉血栓患者分别采用股静脉、腘静脉或胫后静脉置管溶栓和经皮血管内球囊扩张/支架置入术等血管介入技术进行综合性治疗,观察治疗效果。结果37例中治愈22例,显效11例,有效4例,总有效率100%,除3例因左髂静脉完全闭塞,置入导丝未能成功外,单纯球囊扩张11例,支架置入23例。本组患者术中、术后无并发症,溶栓过程中未出现出血。临床随访6～12个月,平均9个月,临床无复发,未发现支架移位和变形。结论综合介入治疗是治疗Cockett综合征伴下肢深静脉血栓的一种安全、有效、微创的治疗手段,值得临床推广。
Objective To study the application value of interventional techniques in treating acute deep venous thrombosis caused by iliac vein compression syndrome. Materials and Methods From 2003 - 2007,37 cases of deep venous thrombosis caused by iliac vein compression syndrome were treated by catheter-directed thrombolysis and percutaneous transluminal angioplasty/endovascular stent implantation. Results Twenty-two cases were cured, 11 cases were significantly improved and 4 cases were improved. The total effective rate was 100%. Eleven cases were undergone percutaneous transluminal angioplasty and 23 cases undergone endovascular stent implantation. Three cases were not successful in im- planting guidingline through occluded iliac veins. No complication and bleeding occurred. All the patients were followed-up for 6- 12months with an average of 9 months. No case recurred and no stent showed migrated or deformed. Conclu- sion The interventional technique for the treatment of acute deep venous thrombosis caused by iliac vein compression syndrome is a safe, effective and microinvasive method.
出处
《临床放射学杂志》
CSCD
北大核心
2009年第3期391-394,共4页
Journal of Clinical Radiology
