[1]崔艳峰,徐浩,祖茂衡,等.左髂静脉受压综合征并发下肢深静脉血栓形成的综合介入治疗[J].介入放射学杂志,2010,(08):602.
 CUI Yanfeng,XU Hao,ZU Maoheng,et al.Comprehensive international management for left iliac vein compression syndrome complicated with deep vein thrombosis[J].journal interventional radiology,2010,(08):602.
点击复制

左髂静脉受压综合征并发下肢深静脉血栓形成的综合介入治疗()

PDF下载中关闭

分享到:

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

卷:
期数:
2010年08期
页码:
602
栏目:
血管介入
出版日期:
2010-08-15

文章信息/Info

Title:
Comprehensive international management for left iliac vein compression syndrome complicated with deep vein thrombosis
作者:
崔艳峰徐浩祖茂衡
221002徐州医学院附属医院介入放射科
Author(s):
CUI Yan-fengXU HaoZU Mao-hengGU Yu-mingLI Guo-junZHANG Qing-qiaoWEI NingXU Wei
the Affiliated Hospital of Xuzhou Medical College,Xuzhou,Jiangsu Province221002,China
关键词:
左髂静脉受压综合征静脉血栓形成静脉溶栓球囊支架
分类号:
R543.5
文献标志码:
A
摘要:
目的探讨介入治疗左髂静脉受压综合征并发左下肢深静脉血栓形成的临床价值。方法对28例左髂静脉受压综合征并发左下肢深静脉血栓形成患者采用经颈静脉插管溶栓、左髂静脉球囊扩张及支架治疗,部分血栓已蔓延至下腔静脉的患者在溶栓前行下腔静脉滤器置入。结果28例患者均在术前彩色多普勒超声检查及术中造影检查明确诊断;5例行可回收性下腔静脉滤器置入,所有患者均经颈静脉置入溶栓导管于髂股静脉进行溶栓治疗,髂股静脉血栓溶解率100%,溶栓后均予以球囊扩张左髂总静脉,其中6例置入髂静脉支架。术后肢体肿胀症状明显减轻或消失,随访3~12个月临床效果满意。结论采用滤器置入、经颈静脉溶栓、髂静脉球囊扩张及支架治疗左髂静脉受压综合征并发左下肢深静脉血栓形成是一种安全、微创、有效的治疗手段,具有较好的效果,值得临床推广。

参考文献/References:

[1]Virchow R.Uber die erweiterung kleiner gefasse[J].Arch PathAnat,1851,3:427.
[2]McMurich TP.The occurrences of congenital adhesions in the common iliac veins and their relations[J].Am J Med Sci,1908,135:342-346.
[3]May R,Thurner J.The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins[J].Angiology,1957,8:419-427.
[4]Cockett FB,Thomas ML.The iliac compression syndrome [J].Br J Surg,1965,52:816-821.
[5]Cockett FB.Venous causes of swollen leg[J].Br J Surg,1967,54:891-894.
[6]高涌,周为民,余朝文,等.左髂静脉受压综合征的腔内治疗[J].蚌埠医学院学报,2006,31:587-589.
[7]Semba CP,Dake MD.Iliofemoral deep venous thrombosis:aggressive therapy with catheter-directed thrombolysis[J].Radiology,1994,191:487-494.
[8]Antani MR.Catheter-directed thrombolysis for the treatm ent ofacute deep venous thrombosis[J].Applied Radiology,2001,30:29.
[9]Mewissen MW,Seabrook GR,Meissner MH,et al.Catheter-directed thrombolysis for lower extremity deep venous thrombosis:report of a national multicenter registry[J].Radiology,1999,211:39-49.
[10]Laiho MK,Oinonen A,Sugano N,et al.Preservation of venous valve function after catheter atheter-directed and system ic thrombolysis for deep venous thrombosis[J].Eur J Vasc Endovasc Surg,2004,28:391-396.
[11]Millward SF.Vena Cava Filters:Continuing the Search for an Ideal Device[J].J Vasc Interv Radiol,2005,16:1423-1425.
[12]高志康,徐浩,张庆桥,等.经颈静脉Aegisy腔静脉滤器在下肢DVT导管溶栓治疗中的临床应用[J].当代医学(中国介入放射学),2009,3:652-654.
[13]董国祥,栾景源,赵军.下肢深静脉取栓术后并发症的处理[J].中华普通外科杂志,2005,20:561-563.
[14]杨冬山,李学锋,刘汝海,等.下肢深静脉血栓取栓术后复发与Cockett综合征的关系[J].中国普通外科杂志,2007,16:539-541.
[15]Kwak HS ,Han YM,Lee YS,et al.Stents in common iliac vein obstruction with acute ipsilateral deep venous thrombosis:early and late results[J].J Vasc Interv Radiol,2005,16:815-822.
[16]董典宁,张十一,金星,等.腘静脉置管溶栓联合髂静脉支架治疗髂股静脉血栓[J].中国实用外科杂志,2007,27:232-234.
[17]高涌,余朝文,周为民,等.介入联合手术取栓治疗左髂静脉受压综合征并发下肢深静脉血栓形成[J].蚌埠医学院学报,2006,31:584-586.

相似文献/References:

[1]庄乃君,顾建平.静脉血栓栓龄的影像学诊断[J].介入放射学杂志,2010,(07):584.
 ZHUANG Naijun,GU Jianping.Imaging diagnosis of the age of venous thrombus[J].journal interventional radiology,2010,(08):584.
[2]黄献琛,陈万海,李春荣,等.介入治疗急性左髂股静脉血栓 ——先溶栓或先扩张[J].介入放射学杂志,2011,(09):688.
 HUANG Xian-chen,CHEN Wan-hai,LI Chun-rong,et al.Thrombolysis together with vascular dilatation for the treatment of acute left iliofemoral venous thrombosis: which procedure should be carried out first?[J].journal interventional radiology,2011,(08):688.
[3]肖 亮,童家杰,解世洋,等.导管辅助法回收贴壁Günther Tulip滤器的初步经验[J].介入放射学杂志,2011,(05):372.
 XIAO Liang,TONG Jia-jie,XIE Shi-yang,et al. Catheter-assisted retrieval of adhesive Günther Tulip filter preliminary experience[J].journal interventional radiology,2011,(08):372.
[4]田玉龙,张曦彤,洪 铎.可回收式滤器在上腔静脉的临床应用[J].介入放射学杂志,2011,(05):377.
 TIAN Yu-long,ZHANG Xi-tong,HONG Duo. The clinical application of the implantation of retrievable filters in superior vena cava[J].journal interventional radiology,2011,(08):377.

备注/Memo

备注/Memo:
收稿日期:2010-01-25
更新日期/Last Update: 2010-08-15