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编织型支架充分突入下腔静脉释放治疗髂静脉压迫综合征的治疗效果

Fully protruding into the inferior vena cava deployment of braided stent in the treatment of iliac compression syndrome
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摘要 目的探讨编织型支架充分突入下腔静脉释放治疗髂静脉压迫综合征的临床疗效。方法回顾性分析本中心2018年1月至2021年5月采用编织型支架突入下腔静脉释放治疗髂静脉压迫综合征患者的临床资料,对一般资料、围手术期情况、随访结果进行统计分析。结果共纳入118例患者,合并急性血栓形成7例,合并深静脉血栓形成后遗症3例,非血栓性髂静脉压迫108例。本组患者技术成功率100%,平均植入2.03±0.77枚支架。23例溃疡患者术后有18例溃疡愈合,愈合率达78.26%,术后CEAP分级较术前有明显改善(t=11.54,P<0.01),术后1年支架一期通畅率97.46%,二期通畅率98.31%。结论编织型支架充分突入下腔静脉释放治疗髂静脉压迫性疾病,支架通畅率高,临床疗效满意。 Objective To evaluate the clinical efficacy of metal braided stent deployed by fully protruding into the inferior vena cava for the treatment of iliac vein compression syndrome(IVCS).Methods The clinical data of patients with IVCS treated with interwoven nitinol mesh stent protruding into the inferior vena cava and released from Jan 2018 to May 2021 in our center were retrospectively analyzed.Results A total of 118 patients were included in this study.Among them,7 cases were complicated with acute thrombosis,3 cases were complicated with post thrombotic syndrome(PTS),and 108 cases were no more thrombotic iliac vein compression.The technical success rate was 100%,with an average of 2.03±0.77 stents implanted.Of the 23 ulcer patients,18 ulcers healed after intervention,and the healing rate was 78.26%.The postoperative CEAP grade was significantly improved(t=11.54,P<0.01),and the primary patency rate and second patency rate were 97.46%and 98.31%at 1 year after intervention.Conclusion The fashion of fully protruding into inferior vena cava deployment in the treatment of iliac vein compressive disease has a high patency rate and satisfactory clinical efficacy.
作者 洪诗钗 林越 卢伟锋 洪翔 陈刚 黄玉龙 陈艺辉 谢新胜 王利新 符伟国 Hong Shichai;Lin Yue;Lu Weifeng;Hong Xiang;Chen Gang;Huang Yulong;Chen Yihui;Xie Xinsheng;Wang Lixin;Fu Weiguo(Department of Vascular Surgery,Zhongshan Hospital(Xiamen),Fudan University,Xiamen 361015,China;Xiamen Clinical Research Center for Cancer Therapy,Xiamen 361015,China;Department of Vascular Surgery,Zhongshan Hospital,Fudan University/Vascular Surgery Institute of Fudan University,Shanghai 200032,China)
出处 《中华普通外科杂志》 CSCD 北大核心 2023年第7期506-509,共4页 Chinese Journal of General Surgery
基金 厦门市医疗卫生指导性项目(3502Z20209047) 福建省卫生健康科技计划项目(2022GGB017)。
关键词 腔静脉 支架 髂静脉压迫综合征 Vena cava,inferior Stents Iliac vein compression syndrome
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