髂股静脉血栓形成后综合征发生时间与介入治疗及预后的相关性分析

The correlation in time of occurrence of iliacfemoral postthrombotic syndrome and interventional treatment success rate as well as prognosis

目的探讨髂股静脉血栓形成后综合征发生时间与介入治疗及预后的相关性。方法回顾性分析2015年1月~2017年6月符合入选标准的髂股静脉血栓形成后综合征患者临床资料。根据发生时间距既往深静脉血栓形成时间长短分A组(3~6月)、B组(6月以上)。统计两组介入治疗成功率,并对其疗效进行总结。结果21例患者,A组10例,B例11例。AB两组开通率分别为100%、63.6%,P<0.05。随访21例(100%),随访时间3~12个月,平均(9.95±3.51)个月。治疗成功患者术后Villalta评分较术前显著降低,P<0.05。随访再闭塞率A组30%(3/10),B组42.9%(3/7),P>0.05。结论髂股静脉血栓形成后综合征发生时间与介入治疗成功率之间存在一定相关性,发生时间(3~6月)与(6月以上)相比,前者治疗成功率更高,而近期疗效在统计学上并无相关性。

Objective To explore the correlation between the time of occurrence of iliacfemoral vein postthrombotic syndrome and interventional treatment success rate and prognosis.Methods The clinical date of patients in accordance with the inclusion criteria from January 2015 to June 2017 were collected.According to the length of time of the postthrombotic syndrome’s occurrence from the history of deep vein thrombosis,the study designed group A(3~6 month)and B(>6 month).We compared the two groups’treatment success rates and prognosis.Results 21 patients were enrolled in this research,including group A(n=10)and B(n=11).The treatment success rate between group A,B was(100%vs 63.6%,P<0.05).All the patients were followed up for 3~12 months at outpatient clinic after the treatment,with a mean of(9.95±3.51)months.The Villalta scores significantly reduced postoperation in patients with treatment success.The reocclusion rate in group A was 30%(3/10),and 42.9%(3/7)in group B,P>0.05.Conclusion Compared to>6 month,the iliacfemoral vein postthrombotic syndrome which occurred in(3~6 month)has higher interventional treatment success rate.However,there is no correlation between the short-term effects in statistics.