Abstract：【Objective】 To explore the factors influencing the efficacy of endovascular angioplasty in the treatment of lumbar degenerative related iliac vein compression syndrome (IVCS). 【Methods】 The factors influencing the efficacy of 110 patients with lumbar degenerative related IVCS treated with endovascular angioplasty in our hospital were analyzed. The patient's age,sex,course of disease,body mass index (BMI),combined diseases,blood lipids [triglyceride (TG),low-density lipoprotein cholesterol (LDL-C),high-density lipoprotein cholesterol (HDL-C),total cholesterol (TC)],coagulation indicators [thrombin time (TT),D-dimer (D-D),prothrombin time (PT),activated partial thromboplastin time (APTT)] and other general data were counted. Multiple logistic regression analysis was used to analyze independent risk factors that affect patient efficacy. 【Results】 Among the 110 patients,34 cases(30.91%) failed treatment and were included in the ineffective group; The remaining 76 cases (69.09%) were successfully treated and included in the effective group. There was no statistically significant difference in age,BMI,blood lipid index levels,coagulation index levels,comorbidities composition ratio,and gender composition ratio between the two groups of patients (P>0.05); The ineffective group had a longer course of disease,higher thrombus density,and higher proportion of popliteal vein involvement compared to the effective group (P<0.05). Multivariate logistic regression analysis showed that course of disease (OR=2.754),thrombus density (OR=2.402),and involvement of popliteal vein (OR=1.896,) were independent risk factors affecting patient efficacy (P<0.05). 【Conclusion】 There is a certain risk of ineffectiveness in the treatment of lumbar degenerative related IVCS patients with endovascular angioplasty,among which the course of disease,thrombus density,and involvement of the popliteal vein are risk factors that affect the treatment effect.
王辉, 李诗城. 腔内血管成形术治疗腰椎退变相关型髂静脉压迫综合征的疗效影响因素[J]. 医学临床研究, 2023, 40(6): 869-872.
WANG Hui, LI Shi-cheng. Factors Influencing the Efficacy of Endovascular Angioplasty in the Treatment of Lumbar Degenerative Related Iliac Vein Compression Syndrome. JOURNAL OF CLINICAL RESEARCH, 2023, 40(6): 869-872.
2023, Vol. 40 
