介入联合手术取栓治疗左髂静脉受压综合征并发下肢深静脉血栓形成

Semi-intervention on for the left iliac vein compression syndromw with low limb deep venous thrombosis

目的：总结Cockett综合征并发下肢深静脉血栓形成（deep venous thrombosis，DVT）的介入治疗联合手术取栓的经验。方法：对46例Cockett综合征并发DVT患者采取腔静脉滤器植入，股静脉切开取栓，髂静脉球囊扩张内置支架。结果：术中发现左髂静脉均有不同程度狭窄或闭塞，随访1～36个月，肢体肿胀完全消退37例，肢体肿胀消退2／3以上5例，肢体肿胀消退1／3以上3例，肢体肿胀消退略有减轻1例，无围手术期死亡。结论：介入治疗联合手术取栓治疗Coekett综合征并发DVT疗效确切，安全，复发率低。

Objective：To summarize the experience of intervention and thrombectomy for the left iliac vein compression syndromw with low limb deep venous thrombosis（DVT）. Methods：The placement of DVT filter and obliterans from femoral vein was performed, and the balloon was also performed. The dilatation and endovascular stent of iliac vein was performed. Results：Stricture and obstruction were found in left iliac vein in different extents. Following up in these patients ranged from 1 month to 36 months. The llmb swelling was alleviated completely in 37 patients. More than 2/3 of swelling was alleviated in 5 patients （ 10.87% ）. More than 1/3 of swelling was alleviated in 3 patients （6.52%）. The lim swelling was alleviated slightly in one patient （2.17%）. No perioperative death occurred. Conclusions：Tile placement of IVC filter and obliterans from femoral vein and balloon dilatation and endovascular stent of iliac vein for treatment of Cockett syndrome are minimally invasive,safe and effective with low reccurence rate.