中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

腔内超声在髂静脉压迫综合征腔内治疗中的应用价值

李炜淼，符伟国   

  1. 复旦大学附属中山医院血管外科，上海200032
  • 出版日期:2015-12-01 发布日期:2015-12-01

  • Online:2015-12-01 Published:2015-12-01

PDF

摘要：

随着静脉腔内技术的发展，支架植入治疗髂静脉压迫综合征（IVCS）有很高的安全性和远期通畅率，同时对症状与病人生活质量有着明显的改善。然而，传统的静脉造影却受到多方面的限制不能提供病变的准确信息，血管内超声（IVUS）则完美的弥补了这一点。IVUS不仅可以完整显示病变狭窄程度和范围，还可以指导术中的支架选择及引导支架释放，提高手术疗效，是IVCS腔内治疗中不可替代的重要临床工具。

关键词: 髂静脉压迫综合征, 支架, 血管内超声

Abstract:

Importance of intravascular ultrasound in endovenous management of iliac vein compression syndrome        LI Wei-miao, FU Wei-guo. Department of Vascular Surgery，Affiliated Zhongshan Hospital of Fudan University，Shanghai200032，China
Corresponding author：FU Wei-guo，E-mail：fu.weiguo@
zs-hospital.sh.cn
Abstract    Recent advent of vein stent-angioplasty and its surprising high safety and long-term patency in the treatment of iliac vein compression syndrome has apparently improve the symtoms and patients' quality of life. Sometimes accurate information of the lesion sometimes cannot be derived from routine venography for its restrictions. However，intravascular ultrasound （IVUS）is able to complement it. Using IVUS during procedure to assess the stenotic lesions and guide the optimal stent placement can dramatically increase the operative outcome. Thus, IVUS is the mainstay of iliac vein stenting.

Key words: iliac vein compression syndrome, stent, intravascular ultrasound