摘要
目的评价非血栓性髂静脉压迫综合征(NIVCS)的解剖特征对支架植入效果的影响。方法回顾性分析2016年6月至2018年1月上海交通大学医学院附属第九人民医院收治的80例NIVCS患者临床资料。结果57.5%患者为单重压迫,37.5%为双重压迫,5%为三重压迫,双髂静脉通道占27.5%。腔内手术成功率100%,平均植入支架直径(14.25±1.03)mm(12~16 mm),平均植入支架长度(84.25±11.45)mm(60~90 mm);一期通畅率98.7%,二期通畅率100%,水肿症状缓解率92.86%,溃疡治愈率100%。不同压迫类型植入的支架直径和长度之间无统计学差异(P<0.05);不同压迫类型及不同直径的支架随访通畅率差异无统计学意义(P>0.05)。结论支架植入治疗不同解剖特征NIVCS的效果相近且安全。
Objective To evaluate the effect of stent implantation with different anatomical features of non-thrombotic iliac vein compression syndrome(NIVCS).Methods The clinical data of 80 patients with NIVCS treated in Shanghai Ninth People's Hospital between June 2016 and January 2018 were retrospectively analyzed.Results 57.5%of the patients were single compression site,while 37.5%were double compression and 5%were triple compression,and 27.5%were bilateral iliac vein access.The success rate of endoscopic surgery was 100%,the average stent diameter was(14.25±1.03)mm(12~16 mm),and the average stent length was(84.25±11.45)mm(60~90 mm).The primary patency rate was 98.7%and the secondary patency rate was 100%;the relief rate of edema symptom was 92.86%,and cure rate of the ulcer was 100%.There was no significant difference between the diameter and length of stent with different compression types(P<0.05).There was also no significant difference in the follow-up patency rate between the different compression types and stents with different diameters and lengths(P<0.05).Conclusion The effect of stent implantation on different anatomical features of NIVCS is similar and safe.
作者
黄家麒
刘晓兵
施慧华
陆信武
HUANG Jia-qi;LIU Xiao-bing;SHI Hui-hua;LU Xin-wu(Department of Vascular Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)
出处
《中国血管外科杂志（电子版）》
2019年第3期195-198,共4页
Chinese Journal of Vascular Surgery(Electronic Version)
基金
上海交通大学医学院第九人民医院临+计划项目(JYLI201824)
上海交通大学医学院博士创新基金(BXJ201935)
关键词
非血栓性髂静脉压迫综合征
解剖特征
疗效
Non-thrombotic iliac vein compression syndrome
Anatomical feature
Therapeutic effect
