静脉压迫综合征诊治在下肢慢性静脉功能不全中的意义

Study on the Importance of Diagnosis and Treatment for Iliac Vein Compression Syndrome in the Treatment for Chronic Venous Insufficiency

目的探讨髂静脉压迫综合征在下肢慢性静脉功能不全中的临床诊治意义。方法回顾性分析2007年1月至2010年12月亳州市人民医院收治的80例髂静脉压迫综合征伴下肢慢性静脉功能不全患者的临床资料，分析患者的临床治疗和并发症等情况。结果经治疗，下肢功能损害评价优56例，良21例、中2例、差1例；下肢深静脉瓣膜功能损害程度评价优40例，良27例、中10例、差3例。术后随访12—30个月，4例患者发生深静脉血栓，4例发生髂静脉穿孔，并发症发生率为10．0％。结论临床中纠正髂静脉压迫综合征或者联合静脉手术治疗能够有效地改善下肢慢性静脉功能不全的临床症状，并且提示髂静脉压迫综合征可能是下肢慢性静脉功能不全的基础性病变。

Objective To investigate significance of the clinical diagnosis and treatment for iliac vein compression syndrome in the treatment for chronic venous insufficiency. Methods Clinical data of 80 patients with iliac vein compression syndrome complicated by chronic venous insufficiency admitted in Bozhou People′s Hospital from Jan. 2007 to Dec. 2010 were retrospectively analyzed, clinical treatment and complications of the patient′s were studied. Results After treatment ,56 cases ranked excellent in the evaluation of lower extremity dysfunction,21 cases ranked good, two cases ranked medium, and 1 case ranked poor; and 40 cases ranked excellent in the evaluation of lower extremity deep venous valve dysfunction, 27 cases ranked good,10 cases ranked medium and 3 cases ranked poor. During the 12-30 months follow-up, deep vein thrombosis occurred in 4 cases, iliac vein perforation occurred in 4 cases, the complication rate was 10.0%. Conclusion Clinical correction of iliac vein compression syndrome or combined treatment with intravenous surgery can effectively improve clinical symptoms of chronic venous insufficiency and it indicates iliac vein compression syndrome may be the basic lesion of chronic venous insufficiency.