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目的探讨左髂静脉受压综合征患者的介入治疗的疗效及安全性。方法32例左髂静脉病变患者采用腔内治疗,其中20例行单纯性球囊扩张,12例球囊反复扩张后置入自膨式Z型支架或Wallstent支架。对合并下肢静脉曲张的患者二期手术治疗。术后随访6～28个月(平均12个月)。结果扩张成功32例,出院时所有患肢疗效良好。术后随访,所有静脉曲张消失、溃疡愈合,14例皮肤色素沉着消失,2例明显减退,11例慢性左下肢肿胀消失,轻度肿胀3例。结论采用介入方法治疗左侧髂静脉压迫综合征,疗效确切,并发症少,可作为临床上治疗此类疾病的首选方法。
Objective To investigate the efficacy and safety of interventional treatment in patients with left iliac vein compression syndrome. Methods Twenty - two patients with left iliac vein disease underwent endovascular treatment. Among them, 20 patients underwent simple balloon dilatation and 12 patients underwent repeated balloon dilatation and placed in self - expanding Z stent or Wallstent stent. Secondary surgery for patients with varicose veins. The patients were followed up for 6 to 28 months (mean 12 months). The results of successful expansion of 32 cases, discharged all the affected limbs with good effect. All the patients were followed up, all the varicose veins disappeared, the ulcer healed, the disappearance of 14 cases of pigmentation of the skin, 2 cases of obvious decrease, 11 cases of chronic left lower extremity swelling disappeared, mild swelling in 3 cases. Conclusion Interventional approach for the treatment of left iliac vein compression syndrome, curative effect is exact, less complications, can be used as the preferred method of clinical treatment of such diseases.