下肢深静脉血栓取栓术后复发与Cockett综合征的关系

The correlation between Cockett syndrome and the relapse of acute deep vein thrombosis of the lower extremity after thrombectomy

目的探讨下肢深静脉血栓取栓术后复发与Cockett综合征(左髂总静脉狭窄)的关系。方法回顾性分析11年间收治的78例急性左下肢髂股静脉血栓行取栓术后复发的原因、手术方法及效果。结果存在Cockett综合征者,若不处理左髂总静脉狭窄,取栓后复发率为47.6%(10/21);若同时处理左髂总静脉狭窄,取栓后复发率为14.8%(4/27);不存在Cockett综合征者,取栓后复发率为13.3%(4/30)。结论Cockett综合征是下肢深静脉血栓取栓术后复发的重要原因;积极处理左髂总静脉狭窄,取栓后复发率明显下降。

Objective To explore the correlation between Cockett syndrome （ stenosis of the left common iliac vein ）and the relapse of acute deep vein thrombosis of the left lower extremity after thrombectomy. Methods The causes of relapse in 7 8 cases of acute deep vein thrombosis of the left lower extremity after thrombectomy performed in the past 11 years were reviewed. Results The relapse rate was 47.6% （10/21） in the group with Cockett syndrome when thrombectomy was done but the stenosis of the left common iliac vein was not treated. The relapse rate was 14. 8% （4/27） in the group with Cockett syndrome when thrombectomy and the stenosis of the left common iliac vein were treated. The relapse rate was 13.3% （4/30） in the group without Cockett syndrome. Conclusions Cockett syndrome is an important cause for the relapse of acute deep vein thrombosis of the left lower extremity after thrombectomy. The relapse rate was markedly decreased when thrombectomy combined with aggressive treatment of the stenosis of the left common iliac vein were performed.