基于慢性髂股静脉阻塞性疾病分型的治疗方式选择

Insights into the classifications of chronic iliofemoral venous obstruction:improving patient selection for treatment

慢性髂股静脉阻塞性疾病(CIVO)常见病因有髂静脉压迫综合征(IVCS)和血栓形成后综合征(PTS),这类疾病在我国有着庞大的患者基数,并且以往传统手术的疗效不甚理想。近年来,静脉腔内技术的发展为这一疾病的诊治提供了新的思路,但临床上普遍存在一些相对不规范或不合理的情况,涉及疾病的诊断方式、治疗决策及用药方案等方面。本文就该疾病目前在国内外的研究进展及各大指南做一梳理。

The common causes of chronic iliofemoral venous obstruction(CIVO)include iliofemoral vein compression syndrome(IVCS)and post-thrombotic syndrome(PTS).The curative effect of traditional surgery has not achieved expectations.In recent years,the development of intravenous technology has provided new ideas for diagnosing and treating this disease.However,there are some inappropriate or sub-standard clinical practices involving diagnosis,treatment decision-making and medication.This article summarizes the current research progress and major guidelines for the disease at home and abroad.