左髂总静脉受压综合征47例诊疗分析

目的总结分析左髂总静脉受压综合征诊断及腔内治疗疗效。方法 2008年6月至2012年1月在我院接受诊治的左髂总静脉受压综合征病例共47例,所有病例均行下肢深静脉造影确诊;41例行球囊扩张+支架植入术,3例单纯行球囊扩张,3例导丝未能通过闭塞段而放弃;介入术后给予规则抗凝治疗。结果全组病例无死亡和肺动脉栓塞,43例患者治疗效果良好。结论下肢静脉造影诊断左髂总静脉受压综合征特异性高,腔内治疗左髂总静脉受压综合征效果良好。

Analysis of diagnosis and treatment on 47 patients with iliac vein compression syndrome

Objective To summarize the diagnosis and endovascular treatment in the iliac vein com- pression syndrome. Methods From Jun. 2008 to Jan. 2011, a total of 47 patients with iliac vein compression syndrome were treated in our department. All patients were diagnosed with venography. Results 41 patients received balloon dilatationwas and stentt placement, 3 patients received percutaneous transluminal angioplasty （PTA） alone, PTA was unfeasible in 3 petients, because the guide wire could not get through the occlusion. Regular anticoagulant therapy was given after intervention. No death or pulmonary embolismoccurred. 43 pa- tients recovered well. Conclusion The specificity of venography is high in diagnosis of the iliac vein compres- sion syndrome. Effects of endovascular treatment on iliac vein compression syndrome is satisfactory.