左髂静脉受压综合征介入治疗的临床分析

Endovascular Treatment of Left Iliac Vein Compression Syndrome

目的探讨左髂静脉受压综合征患者的介入治疗的疗效及安全性。方法32例左髂静脉病变患者采用腔内治疗,其中20例行单纯性球囊扩张,12例球囊反复扩张后置入自膨式Z型支架或Wallstent支架。对合并下肢静脉曲张的患者二期手术治疗。术后随访6～28个月(平均12个月)。结果扩张成功32例,出院时所有患肢疗效良好。术后随访,所有静脉曲张消失、溃疡愈合,14例皮肤色素沉着消失,2例明显减退,11例慢性左下肢肿胀消失,轻度肿胀3例。结论采用介入方法治疗左侧髂静脉压迫综合征,疗效确切,并发症少,可作为临床上治疗此类疾病的首选方法。

Objective To evaluate the efficacy and safety of interventional therapy for left iliac compression syndrome（LICS）.Methods Thirty two patients with Cockett syndrome were treated with endovascular treatment.The catheter and balloon were employed to dilate the left iliac veins,and then the self-extension ＂Z＂ stent or wallstent was only placed in 12 patients.The secondary operation was performed to treat the varices of femoral veins.The patients were followed up for 6 to 28 months（mean,12 months）.Results The dilation of iliac veins was successful and got good efficacy in all cases.The follow-up showed that all the limbs ulcers were cured and varicose veins disappeared.The skin pigmentation disappeared in 14 of 16 cases and markedly relieved in 2 cases.Left lower limb swelling disappeared in 11 of 14 cases and relieved in 3 cases.Conclusion Interventional technique can be selected as first-line treatment for left iliac vein compression syndrome for its favorable result and minimal invasion.