髂静脉受压综合征的介入治疗

Interventional Therapy for Lilac Vein Compression Syndrome(ICS)

目的探讨髂静脉受压综合征介入治疗的临床意义.方法 33例患者,均经下肢深静脉造影明确诊断.经股静脉穿剌行髂静脉球囊扩张,内置支架术31例,单纯球囊扩张2例.二期行大隐静脉曲张激光治疗术31例,22例术后随访6～8月(平均7月).结果手术全部成功,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,20例慢性下肢肿胀消失17例,轻度肿胀3例.结论髂静脉受压综合征介入治疗疗效良好,对继发的大隐静脉曲张病变应作二期处理.

Objective To evaluate the Clinical significance of interventional therapy for iliac vein compression syndrome.Methods A total of 33 patients with ICS that were diagnosed by venography,were included in this study.33 patients underwent percutaneous transluminal angioplasty though femoral vein puncture,31 of them recived stent placement,2 of them underwent percutaneous transluminal angioplasty.In the second stage,31 patients recived great saphenous vein laser treatment,22 of them were followed up for 6 to 8 months（mean,7 months）.Results All the cases were successful,it is effective when discharged from hospital for 33 operated limbs.The follow-up poat-operation,all the varicose veins were disappered and ulcers of lower limds are healing,17 of 20 chronic lower limbs swelling were disappered,3 of them remains slight swelling.Conclusions Interventional therapy for iliae vein compression syndrome（ICS） is effective,varicose greater saphenous vein should be treated in the second stage.