摘要
髂静脉闭塞发生率较高,临床多为隐匿性病变。非血栓性髂静脉闭塞是下肢慢性静脉疾病的重要原因,常见有静脉血栓后综合征和非血栓性髂静脉压迫综合征2种。支架置入是髂静脉闭塞的主要治疗手段之一,应严格把握支架置入指征。支架直径合理选择和精准定位是保证髂静脉支架高通畅率的关键技术要点。血管腔内超声对辅助髂静脉闭塞诊断和髂静脉支架置入有重要意义。髂静脉支架置入术后需定期接受超声随访,术后药物治疗方案目前仍有争议。新型髂静脉专用支架的研发及应用有望进一步提高髂静脉支架置入的临床效果。
The incidence of iliac vein occlusion is high in clinics.Most of them are latent disease.Non-thrombotic iliac vein occlusion is an important cause of chronic venous diseases in lower limbs.Post thrombotic syndrome and iliac vein compression syndrome are two main forms non-thrombotic iliac vein occlusion.Stent implantation is the first-line treatment method for iliac vein occlusion.Reasonable stent diameter selection and accurate positioning are two key technical points to ensure high patency rate of iliac vein stent.Intravascular ultrasound plays an important role in diagnosing iliac vein occlusion and stenting.After iliac vein stent implantation,regular ultrasonic follow-up is required,and optimal postoperative drug therapy is still controversial.The development and application of new specialized iliac vein stent is expected to further improve the clinical effect of iliac vein stent implantation.
作者
杨硕菲
薛冠华
Yang Shuofei;Xue Guanhua(Department of Vascular Surgery,Affiliated Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China)
出处
《国际外科学杂志》
2020年第3期150-153,共4页
International Journal of Surgery
基金
国家自然科学基金青年项目(81700423)
国家自然科学基金面上项目(81873526)
上海交通大学医学院附属仁济医院培育基金项目(PYIII-17-003)。
关键词
髂静脉
支架
置入
Iliac vein
Stent
Implantation
作者简介
通信作者:薛冠华,Email:guanhuaxue@yeah.net。
