摘要
目的探讨髂静脉压迫综合征(IVCS)的血管造影诊断与介入治疗价值。方法37例IVCS中,男13例,女24例,年龄14~53岁,平均32.5±6.5岁,均行血管造影检查。由两名有经验的介入放射学医师按双盲法对其血管造影及介入治疗资料进行回顾性分析。结果37例IVCS经血管造影检查均能获得明确的诊断,发现IVCS为单纯左髂静脉受压者23例,单纯右髂静脉受压9例,双侧髂静脉受压5例。11例急性血栓形成者经综合溶栓治疗后获得成功, 16例行静脉球囊扩张成形术者14例取得明确的效果,5例行血管内支架置入术。8例患者随访了3~26个月(平均18个月),无临床症状复发。结论血管造影有利于IVCS的临床诊断与指导治疗。血管内介入治疗是一种微创、疗效可靠的治疗方法。
Objective To explore the value of angiographic diagnosis and interventional therapy for iliac vein compression syndrome(IVCS). Methods Thirty-seven patients with IVCS (13 men, 24 woman; aged 14 - 53 ; average age, 32.5 6.5 ) underwent angiography and interventional therapy were analyzed retrospectively. Results In the 37 cases, the correct diagnoses were obtained through the angiography. There were 23 cases with 1 eft iliac vein compression syndrome, 9 cases with right iliac vein compression syndrome and 5 cases with both side compression out of 37 patients. Eleven patients had complete clot lysis. The iliac vein narrowings in 14 of 16 patients were successfully managed with PTA and the narrowings of iliac vein in 5 patients were successfully treated by deployment of stent. Eight patients were asymptomatic with a mean follow-up of 18 months( range, 3 - 26 months). Conclusion Angiography is one of the ideal and reliable methods used to diagnose and to guide the interventional treatment for IVCS, and the interventional intravascular treatment is a micro-traumatic and effective way for IVCS.
出处
《血栓与止血学》
2007年第3期113-115,共3页
Chinese Journal of Thrombosis and Hemostasis
关键词
髂静脉压迫综合征
尿激酶
超声消融
介入性
Iliac vein compression syndrome
Urokinase
Ultrasound ablation
Interventional