腔内介入治疗Cockett综合征伴左下肢深静脉血栓形成

发布时间：2018-05-31 23:44

本文选题：Cockett综合征 + 导管溶栓　；参考：《介入放射学杂志》2017年06期

【摘要】：目的探讨Cockett综合征伴左下肢深静脉血栓形成(DVT)腔内介入治疗的临床效果。方法回顾性分析2011年1月至2015年1月收治的256例Cockett综合征伴左下肢DVT患者,采用经导管接触溶栓、球囊扩张闭塞/狭窄段或支架植入术治疗,比较治疗前后患肢周径差、远期通畅率。结果256例Cockett综合征伴左下肢DVT患者中232例(90.6%)血栓完全溶解,24例(9.4%)部分溶解,治疗前后患肢大腿与小腿周径差分别为(7.12±2.15)cm、(4.57±2.81)cm。206例髂静脉重建患者中单纯球囊扩张46例,球囊扩张联合髂静脉支架植入160例;平均随访15个月(9~24个月),单纯球囊扩张患者失访3例,出现髂静脉闭塞26例(60.5%),血栓后综合征(PTS)21例(48.8%),球囊扩张联合支架植入患者失访11例,支架狭窄/闭塞13例(8.7%),PTS 15例(10.1%),两组闭塞/狭窄、PTS差异有统计学意义(P0.001)。结论导管接触溶栓、球囊扩张联合支架植入治疗Cockett综合征,具有确切的临床疗效。
[Abstract]:Objective to investigate the clinical effect of Cockett syndrome with deep venous thrombosis (DVT) in the left lower extremities (DVT). Methods 256 cases of Cockett syndrome with left lower extremities DVT from January 2011 to January 2015 were retrospectively analyzed. Results in 256 cases of Cockett syndrome and left lower limb DVT patients, 232 cases (90.6%) were completely dissolved and 24 (9.4%) dissolved partially. The difference between the limbs and the leg and the leg circumference was (7.12 + 2.15) cm and (4.57 + 2.81) cm.206 cases of iliac vein reconstruction in 46 cases, balloon dilatation combined with iliac statics. Pulse stent implantation in 160 cases; 15 months (9~24 months), 3 cases of simple balloon dilatation, 26 cases of iliac vein occlusion (60.5%), 21 cases of thrombosis syndrome (48.8%), 11 cases of balloon dilatation combined with stent implantation, 13 stent stenosis / occlusion (8.7%), 15 cases of PTS (10.1%), two block / stenosis, and statistically significant PTS difference. Significance (P0.001). Conclusion catheter contact thrombolysis, balloon dilatation combined with stent implantation in the treatment of Cockett syndrome has definite clinical efficacy.
【作者单位】：郑州大学第一附属医院介入科;
【分类号】：R543.6

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