髂静脉受压综合征病因及诊疗研究进展

The etiology, diagnosis and management of iliac vein compression syndrome: recent progress in research

髂静脉受压综合征(IVCS)是左侧髂总静脉受横跨前方的右侧髂总动脉和后方腰骶椎共同压迫引起的下肢和盆腔静脉回流障碍性疾病,常表现为下肢肿胀、静脉曲张、皮肤色素沉着、反复发作的浅表静脉炎、下肢深静脉血栓等。目前主要诊断方法有超声、CT、MRI及静脉造影等。传统的IVCS治疗方法效果差、并发症多,腔内治疗已逐渐成为有效方法。近年对IVCS病因及发病机制、影像诊断方法及腔内治疗评估方面的研究不断深入,本文就其研究进展作一综述。

Iliac vein compression syndrome（IVCS） is a clinical condition that occurs as a result of the compression of left iliac vein caused by the anterior right common iliac artery and the posterior lumbosacral vertebrae, resulting in venous reflux disorder of the lower limb and pelvis. Clinically, IVCS are often marked by lower limb swelling, varicose veins, skin pigmentation, recurrent superficial phlebitis, lower extremity deep venous thrombosis, etc. At present, the main imaging diagnostic means include ultrasonography, computed tomography, magnetic resonance imaging and venography. The traditional therapies are less effective with more complications. Endovascular treatment has gradually become an effective method. This paper aims to make a detailed review concerning the recent progress in research of iliac vein compression syndrome, focusing on the etiology, pathogenesis, imaging diagnosis and endovascular management.