髂静脉受压综合征与单侧下肢肿胀

Unilateral lower extremity edema in iliac compression syndrome

目的探讨髂静脉受压综合征在单侧下肢肿胀病因诊断中的意义及其介入治疗价值。方法左下肢肿胀者32例,经下肢静脉造影确诊为髂静脉受压,所有32例均以左股静脉为穿刺入路,以10或12mm直径的球囊对髂静脉受压或闭塞段行预扩张,然后置入直径为10～16mm的自膨式支架。所有病例术后口服抗凝药治疗6个月。结果所有病例左下肢肿胀均于术后2d内逐渐消失,无严重并发症发生。27例随访资料显示支架通畅率为100%,无深静脉栓塞发生。结论早期发现和治疗髂静脉受压能防止发生下肢深静脉血栓。

Objective To evaluate the clinical value of iliac compression syndrome for etiological diagnosis and treatment of unilateral lower extremity edema. Methods The diagnosis of iliac compression syndrome was confirmed with venography in 32 cases presented with left lower extremity edema. The compressed or occluded venous segment was dilated with a 10 mm or 12 mm diameter balloon and then followed by self-expandable stent placement with a diameter from 10 to 16 mm in the diseased left iliae vein. Oral anticoagulant was taken for 6 months. Results Left lower extremity edema was resolved within 2 days after the procedure in all 32 cases without any major complications. The primary patency of stents reached 100% and no deep venous thrombosis occurred afterwards. Conclusion Early recognition and treatment of iliac compression syndrome could prevent DVT.