髂静脉受压综合征合并左下肢深静脉血栓的综合介入治疗

Combined interventional treatment of iliac vein compression syndrome complicated with left lower extremity deep venous thrombosis

目的研究分析髂静脉受压综合征合并左下肢深静脉血栓的综合介入治疗效果。方法选取天津市第四中心医院2015年6月～2017年7月收治的50例髂静脉受压综合征合并左下肢深静脉血栓患者为研究对象，均进行综合介入治疗，例如机械性血栓碎吸、静脉留置导管溶栓、支架置入及髂静脉球囊扩张等。观察患者经过综合介入治疗后，临床治疗有效率及并发症发生情况。结果经过综合介入治疗后，术后1周无效患者为2例，有效患者为20例，显效患者为16例，12例患者治疗效果为痊愈，治疗总有效率为96.0%。术后2周，无效患者为1例，有效患者为21例，显效患者为16例，12例患者治疗效果为痊愈，治疗总有效率为98.0%。术后4周，临床治疗有效率为100.0%。50例患者平均住院时间为（8.12±1.12）d，介入治疗1～2周后患者肢体肿胀及疼痛等情况均得到改善，全部患者均未发生肺栓塞。结论髂静脉受压综合征合并左下肢深静脉血栓的综合介入治疗临床有效率较为理想，安全性高，可显著改善患者相关临床症状。

Objective To investigate the effect of combined interventional therapy for iliac vein compression syndrome complicated with left lower extremity deep venous thrombosis.Methods50patients of iliac vein compression syndrome in the Fourth Central Hospital of Tianjin from June2015to July2017with deep venous thrombosis of left lower extremity as the research object,were comprehensive interventional therapy,such as mechanical thrombectomy,thrombolysis,avein catheter stent and iliac vein balloon expansion.The effective rate of clinical treatment and complications after comprehensive interventional treatment were observed.Results After comprehensive interventional treatment one week,two patients were invalid,20cases were effective,16cases were markedly effective,12cases were cured,and the effective rate was96.0%.two weeks after operation,1patients were invalid,21patients were effective,16patients were effective,12patients were cured,and the effective rate was98.0%.The effective rate of clinical treatment was100.0%after four weeks.The average length of stay in the50patients was(8.12±1.12)days,and the swelling and pain of the limbs were improved after one to two weeks.No pulmonary plugs were found in50patients.Conclusion The clinical comprehensive intervention of iliac vein compression syndrome with left lower extremity deep venous thrombosis of the effective rate of the treatment is ideal,high safety,and can significantly improve patients'clinical symptoms,has clinical significance.