干旱区生态环境知识资源中心(Arid): 左髂静脉压迫综合征的外科治疗

Arid

	左髂静脉压迫综合征的外科治疗
其他题名	Surgical treatment of left compression syndrome
	李晓强; 余朝文; 聂中林; 周为民
来源期刊	中华医学杂志
ISSN	0376-2491
出版年	2002
卷号	82 期号:2 页码:135-136
中文摘要	目的探讨在左髂静脉压迫综合征患者外科处理的适应证、手术方法和围手术期的处理经验。方法左下肢静脉曲张或慢性肿胀46例，行介入治疗32例，进腹行髂静脉松解、右髂动脉后置吻合8例，髂静脉病变段切除、人工血管原位移植6例，同时或二期手术处理大隐静脉及股静脉瓣膜41例。急性左下肢深静脉血栓形成36例，取栓后行左髂静病变段切除、人工血管原位移植25例，髂-下腔静脉搭桥11例。随访6～66个月。结果无手术死亡和急性肺动脉栓塞发生。效果良好。结论在髂静脉病变是左下肢静脉曲张或肿胀和急性左下肢深静脉血栓形成的重要原因，应尽早处理。介入治疗或外科手术治疗能取得良好的效果。
英文摘要	Objective To explore the remedial indications, operational methods, and perioperational treatment of iliac compression syndrome (ICS) in left extremity. Methods The clinical data of 46 patients with symptoms of chronic swelling or varicose vein in left lower extremity and the diagnosis of left ICS were analyzed. Interventional treatment, iliac vein loosening by laparotomy and right iliac artery anastomosis behind left iliac vein lesion, and vascular graft orthotopic transplantation were performed in 32, 8 and 6 cases respectively. Surgical management of saphenous vein and femoral valves were performed simultaneously or by secondary operation in 41 cases. 36 patients were complicated by acute left lower extremity deep venous thrombosis (DVT), of which resection of lesion in left iliac vein and vascular graft orthotopic transplantion after thrombeotomy, and iliocaval bypass were performed in 25 and 11 oases respectively. After treatment, the patients were followed up for 6 - 66 months. Results No operation death and acute pulmonary embolism was found among the patients. The treatnnent showed a good long-term effect. Conclusion Lesions of left iliac vein are the important cause of swelling and varicose veins and acute DVT in left lower extremity and should be managed as early as possible. Interventional treatment and surgery are effective.
中文关键词	髂静脉压迫综合征 ; 外科治疗 ; 人工血管 ; 移植
英文关键词	iliac compression syndrome surgical procedure vascular graft transplantation
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:1162467
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/203750
作者单位	安徽省蚌埠医学院附属医院血管外科, 233004
推荐引用方式 GB/T 7714	李晓强,余朝文,聂中林,等. 左髂静脉压迫综合征的外科治疗[J],2002,82(2):135-136.
APA	李晓强,余朝文,聂中林,&周为民.(2002).左髂静脉压迫综合征的外科治疗.中华医学杂志,82(2),135-136.
MLA	李晓强,et al."左髂静脉压迫综合征的外科治疗".中华医学杂志 82.2(2002):135-136.