重视慢性深静脉阻塞性疾病腔内治疗

Attention to the endovascular therapy of chronic deep vein obstructive disease

造成慢性深静脉阻塞性疾病的常见病因有深静脉血栓后综合征(PTS)和髂静脉压迫综合征(IVCS),这类疾病可以通过外科旁路手术矫正,但手术疗效不理想。血管腔内治疗已成为近几年治疗的常见策略之一。由于静脉腔内技术还不够成熟,使用的材料还比较单一,静脉腔内治疗的开展还不够普及,现有循证医学证据等级也较低。尽管如此,随着技术的进步,腔内技术治疗慢性深静脉阻塞性疾病还将进一步推进。因此,血管外科医师应重视开展静脉腔内治疗慢性深静脉阻塞性疾病。

The common causes of chronic deep vein obstructive disease include post thrombotic syndrome(PTS)and iliac vein compression syndrome(IVCS),which can be treated by surgical bypass surgery.In recent years,endovascular therapy has become one of the most important therapeutic strategies.However,because of the immature technology and simple materials,endovenous technique in treating chronic deep vein obstructive disease is not widespread enough and the existing evidence level is low.Nevertheless,with the development of technology,endovascular technology will be further promoted.Therefore,vascular surgeons should pay attention to the endovascular treatment of chronic deep vein obstructive disease.