髂股静脉陈旧性血栓综合介入治疗

Interventional treatment for old thrombus in iliofemoral deep veins

目的探讨综合介入技术在髂股静脉陈旧性血栓治疗中的应用价值。方法回顾性总结32例髂股静脉陈旧性血栓的患者进行综合性介入治疗并术后随访。结果30例获得临床技术成功,技术成功率为93.8%,放置支架29枚。术后疗效评估:Ⅰ级4例(12.5%),Ⅱ级16例(50.0%),Ⅲ级10例(31.3%),Ⅳ级2例(6.3%)。出院后平均随访(13.0±6.8)个月,随访29例,失访3例。疗效评估Ⅰ级3例(10.3%),Ⅱ级14例(48.3%),Ⅲ级12例(41.4%)。结论腔内介入治疗技术是治疗陈旧性髂股静脉血栓的行之有效的方法,其具有微创、安全、见效快等特点。

Objective To evaluate interventional management in treating old thrombus in iliofemoral deep veins. Methods The clinical data and the interventional treatment results of 32 patients with chronic iliofemoral deep venous thrombosis were retrospectively reviewed and analyzed. Results Technical success was achieved in 30 patients （93.8%）. Twenty-nine endovascular stents were successfully placed in 25 patients. Postoperative therapeutic effects were as follows： grade Ⅰ was obtained in 4 cases （12.5%）, grade Ⅱ in 16 cases （50.0%）, grade Ⅲ in 10 cases （31.3%） and grade Ⅳ in 2 cases （6.3%）. Twenty-nine patients were followed-up for a mean period of 13.0±6.8 months, and three patients were lost in touch. The follow-up results were as follows： grade Ⅰ was seen in 3 cases （10.3%）, grade Ⅱ in 14 cases （48.3%） and grade Ⅲ in 12 cases （41.4%）. Conclusion Interventional management is a minimally-invasive, safe and effective treatment for chronic iliofemoral deep venous thrombosis.