摘要
目的观察恶性肿瘤压迫引起髂静脉狭窄支架治疗的近期临床疗效。方法回顾性分析我科诊治的14例罹患恶性肿瘤伴下肢肿胀患者的临床资料。所有患者经下肢深静脉造影证实存在髂静脉受压狭窄，并行髂静脉支架成形治疗。结果14例患者成功植入15枚外周血管支架，其中1例患者因狭窄段较长而植入2枚支架。治疗后2—3d所有患肢肿胀明显消退。随访1年，2例治疗后1个月症状复发，1例为支架上端再狭窄，再次支架治疗后症状缓解，另1例为淋巴性水肿，余12例临床效果满意。治疗后6个月所有患者行彩色多普勒超声检查提示支架段管径7-11mm，血流通畅。随访过程中未见支架内疵栓形成、断裂和抗凝相关出血。结论恶性肿瘤压迫引起髂静脉狭窄的支架治疗能有效重建静脉回流通道、纠正血流动力学异常，缓解患肢肿胀、提高患者生活质量。
Objective To investigate the clinical short- term effects of stent implantation for the treatment of iliac vein stenosis caused by malignant tumor compression. Methods The clinical data of 14 cases with lower limb swelling caused by malignant lesions were retrospectively analyzed. In all patients the diagnosis was confirmed by iliac venography, and iliac venous stent implantation was carried out. The clinical results were analyzed. Results A total of 15 peripheral vascular stents were successfully implanted in 14 patients. Two stents had to be used in one patient as the narrowed segment was longer. Two to three days after the treatment, the lower limb swelling showed an obvious improvement in all patients. During the follow-up period lasting for one year, recurrence within one month was seen in 2 cases. One patient had restenosis of the upper end of the stent, and stent implantation had to be employed again. Another patient had lymphedema. Satisfactory clinical results were obtained in the remaining 12 patients. Six months after the treatment, color Doppler ultrasound showed that the diameter of iliac vein at stent segment was 7 - 11 mm with unobstructed blood flow. No complications such stent thrombosis, stent fracture or anticoagulant-related bleeding were observed. Conclusion For the treatment of iliac vein stenosis caused by malignant tumor compression, stent implantation can effectively establish the venous drainage channel, rapidly adjust the abnormality of hemodynamics, promptly relieve the lower limb swelling and markedly improve the quality of life. （J Intervent Radiol, 2014, 23 ： 118-121 ）
出处
《介入放射学杂志》
CSCD
北大核心
2014年第2期118-121,共4页
Journal of Interventional Radiology
关键词
恶性肿瘤
髂静脉狭窄
支架治疗
malignant tumor
iliac vein stenosis
stent implantation
