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髂静脉压迫综合征的外科和介入治疗

Surgical and interventional treatment of iliac compression syndrome

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【作者】 李维敏黄英陆信武朱雯霞刘哓兵黄新天陆民张培华蒋米尔

【Author】 Li Weimin,Huang Ying,Lu Xinwu,et al.Department of Vascular Surgery,the Ninth Hospital Affiliated to Shanghai Second Medical University,Shanghai 200011,China

【机构】 上海第二医科大学附属第九人民医院血管外科上海第二医科大学附属第九人民医院血管外科 200011200011200011

【摘要】 目的 探讨髂静脉压迫综合征病人外科和介入治疗的方法。方法  1998年 12月至 2 0 0 2年 7月 ,采用Palma -Dale手术和球囊扩张联合支架植入治疗髂静脉压迫综合征 2 1例。结果  15例Palma -Dale手术病人随访 8~ 46个月 ,13例移植血管保持通畅、效果满意 ;另 2例移植物闭塞。 2例单纯球囊扩张者 ,1例症状改善 ,另 1例无好转。 4例球囊扩张联合支架植入术后左髂总静脉管腔通畅 ,随访 4~ 10个月患肢症状消失 ,疗效满意。结论 Palma -Dale手术和球囊扩张联合支架植入 ,是治疗髂静脉压迫综合征安全、有效的方法。

【Abstract】 Objective To explore the surgical and interventional treatment in patients with iliac compression syndrome.Methods From December 1998 to July 2002,Palma-Dale’s procedures and interventional therapies were performed in 15 and 6 patients,respectively.Results Fifteen patients receiving Palma-Dale’s procedures were followed up 8~46 months,13 patients had patent graft and satisfactory effects,while another 2 patients had graft occluded.In 2 patients simple balloon dilation was given,1 had symptoms relieved and another 1 showed no improvement.Stent implantation was successfully done in left common iliac arteries in 4 patients,with no symptoms recurrence within 4~10 months of follow-up.Conclusion Palma-Dale’s procedure and interventional therapies are safe and effective treatment to iliac compression syndrome.

  • 【文献出处】 中国实用外科杂志 ,Chinese Journal of Practical Surgery , 编辑部邮箱 ,2003年04期
  • 【分类号】R654.4
  • 【被引频次】16
  • 【下载频次】221
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