髂静脉压迫综合征静脉造影影像学研究

Study on imaging examinations for iliac vein compression syndrome

目的:探讨髂静脉压迫综合征的影像学检查方法和X线征象,为临床诊断提供客观依据。方法:回顾性分析34例髂静脉压迫综合征患者左下肢深静脉顺行造影和左髂静脉DSA表现及二者内在联系。结果:左下肢深静脉顺行造影表现可反映髂静脉狭窄程度,髂静脉压迫综合征可分为3型,I型狭窄率约74.25%,II型狭窄率约55.47%,III型狭窄率约38.64%,各型之间狭窄程度有非常显著性差异(P<0.01)。结论:下肢深静脉顺行造影检查对评价髂静脉压迫综合征病情严重程度具有重要参考价值。

Objective： To study the radiological manifestation of iliac vein compression syndrome, and to provide objective image basis for its clinical diagnosis. Methods： Thirty-four cases with iliac vein compression syndrome were retrospectively studied, including deep venous ascending phlebography of left limb and DSA of left iliac vein, and the relationship between them. Results： Deep venous ascending phlebography of left limb showed the degree of stenosis of iliac vein, iliac vein compression syndrome can be divided into three types according to deep venous ascending phlebography of left limb, the mean stenotic rate of type Ⅰ was 74.25%, type Ⅱ was 55.47% and type Ⅲ was 38.64%. There were significant differences between each group （P〈0.01）. Conclusion： Deep venous ascending phlebography of left limb is important for evaluating the severity of iliac vein compression syndrome.