Cockett综合征合并股青肿的综合治疗分析:附7例报告

Combined therapy for patients with Cockett syndrome complicated with phlegmasia cerulea dolens:a report of 7 cases

目的探讨应用下腔静脉滤器置入、手术取栓、静脉溶栓综合治疗Cockett综合征合并股青肿(PCD)的途径及疗效。方法对10年间收治的Cockett综合征合并PCD的7例患者的临床资料进行回顾性分析。结果7例均有典型PCD表现,其足背动脉、胫后动脉搏动均消失;均经多普勒检查证为Cockett综合征合并PCD;均行手术治疗。3例行腔静脉滤器植入术,3例行球囊导管阻绝术,1例患者行PALMA术,7例均行术中取栓和术后溶栓治疗。7例术后患肢足背动脉搏动均恢复,疼痛消失,消肿,未出现手术并发症。经6个月至3年随访,未见血栓复发及其他并发症发生。结论综合介入、手术、溶栓治疗Cockett综合征合并PCD不仅成功率高,近期疗效好,而且安全可靠。

Objective To investigate the effect of comprehensive therapy for Cockett syndrome. Methods We retrospectively compared and analyzed the curative effects of comprehensive treatments invo],ving cava filter placement, embolectomy and venous thrombolysis on 7 cases of Coekett syndrome complicated with phlegmasia cerulea dolens （ PCD ） . Results The 7 cases showed classical PCD manifestations with absence of pulsation of dorsalis pedis and posterior tibial arteries, and the diagnosis of Cockett syndrome with associated PCD was confirmed by doppler ultrasound All cases received embolectomy combined with venous thrombolysis, 3 underwent cava filter placement, 3 underwent Fogarty catheter interruption, and 1 underwent PALMA operation. After operation, the dorsalis pedis artery pulsation was restored, pain and swelling disappeared, and there were no postoperative complications in all the 7 cases. Six months to three years follow-up showed no recurrent thrombosis or other complications occarred. Conclusions Comprehensive therapy with intervention procedure, open operation and thrombolysis for treatment of Cockett syndrome complicated with phlegmasia cerulea dolens is effective and safe, and with high short-term success rate.