文章摘要

髂静脉压迫性下肢深静脉血栓的腔内治疗进展

作者: 1蒲雲飞, 1李秀娟, 1王海洋
1 哈尔滨医科大学附属第一医院血管介入外科,哈尔滨 510120
通讯: 王海洋 Email: wanghaiyangguan@163.com
DOI: 10.3978/j.issn.2095-6959.2022.06.034
基金: 国家自然科学基金(81570424)。

摘要

髂静脉压迫性下肢深静脉血栓(deep venous thrombosis,DVT)是临床中较常见的一种下肢DVT,多出现于左下肢。下肢DVT的发病率不断增长,其并发症的危害性不仅仅在于造成住院死亡的常见可预防原因之一,也是许多潜在远期病的诱发因素,因而对于髂静脉压迫性下肢DVT的认知和治疗显得格外重要。而髂静脉压迫性下肢DVT形成后及时正确诊治,对于血栓形成后的预防血栓扩大也至关重要。血管外科结合介入、科学科技的研究发展,就滤器置入、血栓抽吸、球囊扩张、支架置入及可回收滤器取除等腔内手术对于血管外科医生来说都不陌生。对髂静脉压迫性下肢DVT的各种腔内治疗进行充分了解,有助于这种类型患者的一站式腔内治疗思维的建立起到了很大的作用。新治疗思维的建立以及临床技术的成熟运用,极大提高了患者的就医体验及患者依从性,具有缩短住院时间和对患者的创伤小等优点。
关键词: 髂静脉压迫性下肢深静脉血栓;腔内治疗;溶栓;一站式治疗

Progress in endovascular treatment of iliac vein compression deep venous thrombosis of lower limbs

Authors: 1PU Yunfei, 1LI Xiujuan, 1WANG Haiyang
1 Department of Vascular Interventional Surgery, First Affiliated Hospital of Harbin Medical University, Harbin 510120, China

CorrespondingAuthor: WANG Haiyang Email: wanghaiyangguan@163.com

DOI: 10.3978/j.issn.2095-6959.2022.06.034

Foundation: This work was supported by the National Natural Science Foundation of China (81570424).

Abstract

Deep venous thrombosis (DVT) of iliac vein compression is a common DVT of lower limb in clinic, which usually occurs in the left lower limb. With the increased morbidity of DVT of the lower extremity, it is particularly important for us to deepen the cognition and treatment about this disease. Because its complications not only are one of the common preventable causes of deaths in hospital, but also the inducement of many potential long-term diseases. Timely and correct diagnosis and treatment are especially important to prevent the continued expansion of thrombosis. Vascular surgery combined with interventional therapy and the development of scientific and technological research, vascular surgeons are familiar with endovascular operations such as filter implantation, thrombosis aspiration, balloon dilation, stent implantation and retrievable filter removal. The establishment of new treatment thinking and the mature application of clinical technology have greatly improved the medical experience of the affected limb and the advantages of patient compliance, shorten the length of hospital stay, and less trauma to patients, etc.

Keywords: iliac vein compression lower extremity deep venous thrombosis; endovascular therapy; thrombolysis; one stop treatment

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