髂总静脉受压综合征的超声监测

Ultrasonic monitoring of common iliac vein compression syndrome

目的 探讨髂总静脉受压综合征结构形态及相应变化。方法 采用超声监测的方法对1997- 0 4～ 2 0 0 0 - 0 6所检 2 1例患者进行分析。所检患者有 16例经静脉造影进一步得到证实。 5例经超声反复监测确认。结果 2 1例中 ,男 1例女 2 0例 ,年龄 18～ 46岁。患者取仰卧位 ,自病痛部位沿血管解剖走行 ,顺序扫查 ,左侧髂总静脉受压 2 0例 ,其中双侧病变 2例 ,单纯右侧受压 1例 ,受压处静脉前后径最小 0 .45cm ,伴远心端不同程度附壁血栓形成 6例 ,均见程度不同静脉扩张 ,18例患者伴有静脉壁回声改变。结论 髂总静脉受压综合征行超声监测是无创、实用。

Objective To probe the structural,morphological and its relative changes of common iliac vein syndrome,and the diagnosis standard and mechanism of this disease.Methods Using ultrasonic monitoring method to analyse 21 patients with this disease(detected from1997,4to 2000,6).Among the patients,male 1,female 20,aged 18～46;16 were further verified by veingraphy,5 were showed by repeated ultrasonic monitoring.The patients were in supine position,and subjected to scanning sequentially,along with vaso anatomy,distribution from pain site.Results There were twenty cases with left lateral common iliac vein compression,in which 2 were bi lateral compression;isolated right lateral compression was only one case.The least anterior posteror diameter of compressed vein was 0.45cm.Six cases were associated with thromobosis attached to vasowall.All the cases had vein dilatation at different extent.Also,18 cases were accompanied with changes of echo from vein wall.Conclusions Above analysis suggests that ultrasonic monitoring of common iliac vein syndrome is noninvasive,practical and effective.