腔内治疗右侧非血栓性骼静脉压迫综合征的疗效分析

Endovascular therapy on right non-thrombotic iliac vein compression lesions

目的评估腔内治疗对右侧非血栓性器静脉压迫综合征(NIVCL)的疗效。方法回顾性分析2015年8月 2018年3月收治的45例腔内治疗右侧(其中双侧病变18例)NIVCL患者的资料。患者平均年龄(62.3 ± 10. 1)岁,病程(85.9 ± 15.2)个月。结果该技术的手术成功率为100%(45/45) o水肿累积缓解率为86. 5%(32/37),溃疡愈合率为85. 7%(18/21) o术后9例伴静脉曲张患者在随访期间(9/29)完全缓解,基于0 10视觉模拟评分(VAS)的平均疼痛评分从4. 1 ±0.7降至0.7±0.6(P<0. 05).结论腔内治疗右侧NIVCL具有良好的疗效。选择合适的球囊扩张、超过正常血管直径20%的支架,且支架两端超出病变段足够的距离,精确合理地定位支架,辅以抗凝治疗,对于保证远期疗效具有重要作用。

Objective To assess the impact of endovascular therapy on right non-thrombotic iliac vein compression lesions ( NIVCL). Methods A retrospective analysis of 45 ( including 18 cases of bilateral lesions) patients with right NIVCL who underwent endovascular treatment from Aug 2015 to Mar 2018 was performed. The average age of the patients was (62. 3 ± 10. 1) years, and the average history of the disease was (85. 9 ± 15. 2) months. Result The success rate of the technique was 100%(45/45). The cumulative remission rate of edema was 86. 5%(32/37 ), and the healing rate of ulcer was 85. 7%( 18/ 21). After the operation, the varicose veins in 9 patients were significantly relieved during the follow-up period (9/29 ), and the average pain level , which was based on a visual analogue scale from 0 - 10, dropped from 4. 1 ±0. 7 to 0. 7 ± 0. 6 ( P < 0. 05 ). Conclusions Endovascular treatment of right NIVCL has a good result. With a properly sized balloon, a stent that exceeds 20% of the diameter of the normal blood vessel, safely nchoring at both ends of the lesion and long term anticoagulant therapy.