髂静脉血栓后综合征早期腔内治疗的时机研究

Interventional timing of early endovascular therapy for post iliac venous thrombosis syndrome

目的探讨髂静脉血栓后综合征早期腔内治疗的干预时机。方法华中科技大学同济医学院附属协和医院2017年10月至2019年10月收治髂静脉压迫综合征并下肢深静脉血栓病人56例,依据血栓发病时间是否超过6个月分为早期干预组(≤6个月,20例)和对照组(>6个月,36例),所有病人均采用腔内治疗的方式,观察病人的治疗效果、并发症发生率及预后情况。结果早期干预组与对照组病人治疗技术成功率均为100%,均无围手术期并发症发生。两组病人随访1年后,Villalta评分[(8.01±1.01)分比(7.97±1.30)分]下降情况以及通畅率(90.0%比94.4%)差异均无统计学意义。结论髂静脉血栓后综合征早期进行腔内治疗干预并不增加病人风险,有助于提高病人的生活质量。

Objective To explore the interventional timing of early endovascular therapy for patients with iliac venous thrombosis(IVT).Methods Fifty-six patients with iliac vein compression syndrome and deep vein thrombosis of lower extremity were reviewed.According to the timing of thrombosis,they were divided into two groups of early intervention(≤6 months,n=20)and control(>6 months,n=36).After endovascular procedures,therapeutic effect,complication incidence and patient prognosis were observed.Results Both group were successfully treated and there was no onset of perioperative complications.No significant difference existed in declining 1-year Villalta score(8.01±1.01 vs.7.97±1.30)or patency rate(90.0%vs.94.4%).Conclusion Early endovascular intervention of IVT does not elevate the risk of patients and helps to enhance the quality-of-life of patients.