摘要
目的：探讨下肢深静脉血栓后综合征的外科治疗方法.方法：下肢深静脉血栓后综合征20例,采用球囊扩张左股总及髂静脉狭窄段、置入支架并做临时性股动静脉瘘方法治疗,其中10例同时行大隐静脉结扎抽剥术.结果：所有病例介入及手术取得成功.出院时14例肢体肿胀明显缓解,4例轻度肿胀,2例缓解不明显.随访15例（3～24个月）,13例肿胀消退,5例足靴区溃疡愈合,2例未愈.结论：多数下肢深静脉血栓后综合征患者的髂静脉病变是以狭窄为主,可以通过介入的方法治疗.本方法创伤小、近期疗效较好.
Objective： To discuss the method of surgical therapy for the deep vein post-thrombosis syndrom（PTS）. Methods： 20 cases of PTS with surgical therapy were enrolled. Dilation and stem-implantation in stenosis of iliac veins were performed in the cases of lower extremity, then temporary femoral arteriovenous fistular were constructed. Saphenous vein ligafion and paring were performed simultaneously in 10 cases with varicosity. Results： Procedures were crowned with success in all the cases. Before discharge,limb swelling subsided in 14 cases while 4 remained mild swelling and 2 had no obvious relief. After following-up in 15 cases for 3-24 months, 13 cases had no limb swelling, and limb ulcers were cured in 5 cases but not in 2 cases. Conclusion： lliac veins stenosis in PTS is common, the lesions could be treated by interveional method, which has good curative effect in the near future with less trauma.
出处
《解剖与临床》
2006年第2期115-116,共2页
Anatomy and Clinics
关键词
深静脉血栓后综合征
介入
动静脉瘘
Deep vein post-thrombosis syndrome
Intervention
Arteriovenous fistula
