摘要
目的 探讨左髂静脉受压综合征患者左髂静脉阻塞性病变介入治疗的临床意义。方法经皮经股或静脉行左髂静脉扩张 40例 ,内置支架术 33例 ,二期行左大隐静脉高位结扎抽剥加左股静脉瓣膜缩窄术 2 7例 ,31例术后随访 6～ 6 6个月 (平均 2 8个月 )。结果 扩张成功 36例 ,出院时所有患肢疗效良好。术后随访 ,所有静脉曲张消失、溃疡愈合 ,19例皮肤色素沉着消失 17例 ,2例明显减退 ,17例慢性左下肢肿胀消失 15例 ,轻度肿胀 2例。结论 左髂静脉阻塞病变介入治疗疗效良好 ,对继发的大隐静脉和股静脉瓣膜病变应作二期处理。
Objective To explore the clinical significance of interventional treatment of iliac vein compression syndrome(IVCS). Methods Percutaneous transluminal angioplasty(PTA) was performed in 40 cases. Thirty three cases underwent endovascular stent implantation and 27 cases underwent second stage left saphenous vein ligation and stripping and the valves of left femoral veins narrowing. Thirty one cases were followed up postoperatively and the duration was 6～66 months (mean 28 months). Results The dilation of iliac veins was successful in 36 cases and there were good efficacy in all patients when they discharged from hospital. Followed up during post operation, all the limbs ulcers were cured and varicose veins disappeared. The skin pigmentation disappeared in 17 of 19 cases and markedly relieved in 2 cases. Left lower limb swelling disappeared in 15 of 17 cases and relieved in 2cases. Conclusion There is good efficacy in the interventional treatment of left iliac vein lesions, but second stage procedures should be performed in secondary lesions of saphenous veins and valves of femoral veins.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2002年第3期272-275,共4页
Chinese Journal of Radiology
