支架成形术与球囊扩张术治疗207例髂静脉受压综合征的疗效分析

Stent angioplasty and balloon dilatation for the treatment of iliac vein compression syndrome in 207 patients

目的评价支架成形术与球囊扩张术治疗下肢髂静脉受压综合征(IVCS)的效果。方法回顾性分析2010年1月至2015年12月四川省骨科医院血管外科收治的207例下肢IVCS患者的临床资料,其中121例患者行髂静脉支架成形术+球囊扩张术治疗(观察组),86例患者行球囊扩张术治疗(对照组)。比较2组患者静脉的血管通畅率、静脉反流和生活质量的改善情况。结果支架成形术的成功率为100%,4年随访患者的静脉通畅率为93.3%。相比对照组,观察组在术后肢体症状(疼痛、水肿、溃疡)和部分生命质量方面获得明显改善(均P<0.01)。而对照组具有较高的血栓后综合征复发率(P=0.099)。结论支架成形术治疗下肢IVCS具有良好的中远期临床疗效和支架通畅率。

Objective To evaluate the effect of stent angioplasty and balloon dilation in the treatment of lower limb iliac vein compression syndrome（IVCS）. Methods A retrospective analysis of the clinical data of 207 cases of patients with IVCS from January 2010 to December 2015 in Orthopedics Hospital of Sichuan province, of which 121 patients were treated by iliac vein stent angioplasty and balloon dilation treatment（observation group）, 86 patients underwent balloon dilatation treatment（control group）. The patency rate, venous reflux and quality of life in 2 groups were compared. Results The success rate of stent angioplasty was 100%, and the patency rate was 93.3% in 4 years follow-up patients. Compared with the control group, the observation group had significant improvement in limb symptoms（pain, edema, ulcer） and some quality of life（P〈0.01）. The control group had a higher recurrence rate of post-thrombotic syndrome（P = 0.099）. Conclusions Stent angioplasty for lower limb IVCS has better middle and long term clinical effect and stent patency rate.