[1]郑世宾,郭衍,孙成宏,等.支架成形术治疗以静脉性溃疡为主要表现的非血栓性髂静脉病变效果[J].介入放射学杂志,2020,29(01):25-29.
　ZHENG Shibing,GUO Heng,SUN Chenghong,et al.The curative effect of stent angioplasty for the treatment of non-thrombotic iliac vein lesions characterized mainly by venous ulcers[J].journal interventional radiology,2020,29(01):25-29.
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支架成形术治疗以静脉性溃疡为主要表现的非血栓性髂静脉病变效果()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年01
页码:
25-29
栏目:
血管介入
出版日期:
2020-02-10

文章信息/Info

Title:
The curative effect of stent angioplasty for the treatment of non-thrombotic iliac vein lesions characterized mainly by venous ulcers
作者:
郑世宾; 郭衍; 孙成宏; 张宏中; 叶开创; 陆信武
Author(s):
ZHENG Shibing;  GUO Heng;  SUN Chenghong;  ZHANG Hongzhong;  YE Kaichuang;  LU Xinwu.
Department of Vascular Surgery, Junan County People’s Hospital, Junan County, Shandong Province 276600, China
关键词:
【关键词】　非血栓性髂静脉病变; 支架成形术; 静脉曲张; 静脉腔内激光治疗; 静脉性溃疡
文献标志码:
A
摘要:
【摘要】　目的?评价支架成形术治疗非血栓性髂静脉病变（NIVL）对静脉性溃疡愈合的临床意义。 方法?回顾性分析2014年1月至2017年12月收治的下肢静脉性溃疡并经影像学检查确诊为NIVL患者临床资料。根据治疗下肢静脉曲张的同时是否应用支架成形术处理髂静脉病变，将患者分为两组，A组（治疗组）接受大隐静脉高位结扎、静脉腔内激光治疗（EVLT），同期支架成形术处理NIVL；B组（对照组）接受单纯大隐静脉高位结扎、EVLT治疗，未处理髂静脉病变。根据随访结果比较两组患者临床效果。主要研究终点为溃疡愈合率，次要研究终点包括静脉曲张复发率、静脉疾病临床严重度评分（VCSS）。 结果?根据纳入和排除标准共纳入217例患者，A组114例，B组103例。两组患者术前一般资料差异无统计学意义。术后随访1～48个月，平均26个月。A组患者髂静脉支架通畅率为100%。A组、B组患者溃疡愈合率分别为91.2% （104/114）、79.6% （82/103），A组显著高于B组（P=0.02）；A组患者平均VCSS评分（4.8）显著低于B组（7.5）（P=0.004）；A组静脉曲张复发率（7.0%）显著低于B组（17.5%）（P=0.02）。 结论?支架成形术治疗以静脉性溃疡为主要表现的NIVL安全、有效，可显著促进溃疡愈合、缓解临床症状，降低静脉曲张复发率。

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（收稿日期：2019-02-11）
（本文编辑：边佶）

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备注/Memo

备注/Memo:
（收稿日期：2019-02-11）
（本文编辑：边佶）
更新日期/Last Update: 2020-02-08