[1]邓美香,金泳海,倪才方,等.植入支架治疗恶性肿瘤压迫致髂静脉狭窄14例[J].介入放射学杂志,2014,(02):118-121.
 DENG Mei? xiang,JIN Yong? hai,NI Cai? fang,et al. Stent implantation for iliac vein stenosis caused by malignant tumor compression: analysis of 14 cases [J].journal interventional radiology,2014,(02):118-121.
点击复制

植入支架治疗恶性肿瘤压迫致髂静脉狭窄14例 ()

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:
2014年02期
页码:
118-121
栏目:
肿瘤介入
出版日期:
2014-02-28

文章信息/Info

Title:
 Stent implantation for iliac vein stenosis caused by malignant tumor compression: analysis of 14 cases

作者:
 邓美香 金泳海 倪才方 李 智 李克伟
Author(s):
 DENG Mei?蛳 xiang JIN Yong?蛳 hai NI Cai?蛳 fang LI Zhi LI Ke?蛳 wei.
 Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215006, China
关键词:
 【关键词】 恶性肿瘤 髂静脉狭窄 支架治疗
文献标志码:
A
摘要:
 【摘要】 目的 观察恶性肿瘤压迫引起髂静脉狭窄支架治疗的近期临床疗效。方法 回顾性分析我科诊治的14例罹患恶性肿瘤伴下肢肿胀患者的临床资料。所有患者经下肢深静脉造影证实存在髂静脉受压狭窄,并行髂静脉支架成形治疗。结果 14例患者成功植入15枚外周血管支架,其中1例患者因狭窄段较长而植入2枚支架。治疗后2 ~ 3 d所有患肢肿胀明显消退。随访1年,2例治疗后1个月症状复发,1例为支架上端再狭窄,再次支架治疗后症状缓解,另1例为淋巴性水肿,余12例临床效果满意。治疗后6个月所有患者行彩色多普勒超声检查提示支架段管径7 ~ 11 mm,血流通畅。随访过程中未见支架内血栓形成、断裂和抗凝相关出血。结论 恶性肿瘤压迫引起髂静脉狭窄的支架治疗能有效重建静脉回流通道、纠正血流动力学异常,缓解患肢肿胀、提高患者生活质量。

参考文献/References:

 [1] 赵 军, 董国祥. 左髂总静脉狭窄与急性下肢深静脉血栓形成[J]. 中华外科杂志, 1998, 36: 12 ?蛳 14.
[2] Hartung O, Otero A, Boufi M, et al. Mid?蛳 term results of endovascular treatment for symptomatic chronic nonmalignant iliocaval venous occlusive disease[J]. J Vasc Surg, 2005, 42: 1138 ?蛳 1144.
[3] 李晓强, 孟庆友, 姜 坤, 等. 下肢深静脉血栓形成导管溶栓术后髂静脉病变支架治疗的前瞻性对照性研究[J]. 中国血管外科杂志: 电子版, 2012, 04: 13 ?蛳 15, 19.
[4] 陈石伟, 乔德林. 经皮上腔静脉成形术治疗上腔静脉阻塞综合征[J]. 介入放射学杂志, 2004, 06: 244 ?蛳 246.
[5] 宋进华, 顾建平, 楼文胜, 等. 肺癌合并上腔静脉综合征的介入治疗[J]. 介入放射学杂志, 2008, 17: 182 ?蛳 185.
[6] Kim YI, Kim KS, Ko YC, et al. Endovascular stenting as a first choice for the palliation of superior vena cava syndrome[J]. J Korean Med Sci, 2004, 19: 519 ?蛳 522.
[7] 孙 勇, 倪才方, 周大勇, 等. 上腔静脉综合征支架植入术后并发症分析[J]. 中华放射学杂志, 2010, 44: 176 ?蛳 180.
[8] 陈 曦, 欧阳学农. 癌症合并血栓形成的研究概况[J]. 国外医学肿瘤学分册, 1997, 24: 108.
[9] Khorana AA, Francis CW, Culakova E, et al. Thromboembolism is a leading cause of death in cancer patients receiving outpatient chemotherapy[J]. J Thromb Haemost, 2007, 5: 632 ?蛳 634.
[10] Palmaz JC. Intravascular stenting: from basic research to clinical application. Cardiovasc intervent radiol[J]. Intervent Radiol, 1992, 15: 279 ?蛳 284.
[11] 中华医学会心血管病学分会, 中国老年学学会心脑血管病专业委员会. 华法林抗凝治疗的中国专家共识[J]. 中华内科杂志, 2013, 52: 76 ?蛳 82.
[12] Agarwal S, Hachamovitch R, Menon V. Current trial?蛳 associated outcomes with warfarin in prevention of stroke in patients with nonvalvular atrial fibrillation: a meta?蛳 analysis[J]. Arch Intern Med, 2012, 172: 623 ?蛳 631.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(02):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(02):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(02):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(02):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(02):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(02):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(02):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(02):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(02):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(02):190.
[11]方世明,李海利,林   青,等. X线引导下鼻肠梗阻导管插入引流治疗不能手术的恶性肠梗阻[J].介入放射学杂志,2011,(12):979.
 FANG Shi-ming,LI Hai-li,LIN Qing,et al.Fluoroscopically-guided transnasal insertion of ileus tube for intestinal decompression in patients with inoperable malignant bowel obstruction[J].journal interventional radiology,2011,(02):979.

备注/Memo

备注/Memo:
 (收稿日期:2013-07-27)
更新日期/Last Update: