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| Factors Influencing the Efficacy of Endovascular Angioplasty in the Treatment of Lumbar Degenerative Related Iliac Vein Compression Syndrome |
| WANG Hui, LI Shi-cheng |
| Department of Interventional Radiology,Hanzhong Central Hospital,Shaanxi Hanzhong 723000 |
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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.
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Received: 28 June 2022
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[1] 吴鼎,王晓丽,孟庆义,等. 髂静脉压迫综合征的诊治进展[J].中国医学计算机成像杂志,2020,26(3):297-299.
[2] RODRIGUES L,BERTANHA M,DIB R E,et al. Association between deep vein thrombosis and stent patency in symptomatic iliac vein compression syndrome:Systematic review and meta-analysis[J].J Vasc Surg Venous Lymphat Disord,2021,9(1):275-284.
[3] BI Y,YU Z,CHEN H,et al. Cockett syndrome deep venous thrombosis endovascular treatment iliac stenting quality of life assessment[J].Phlebology,2019,34(8):536-542.
[4] 徐光. CDT联合支架置入术治疗髂静脉压迫综合征合并左下肢深静脉血栓形成的临床疗效[J].中国老年学杂志,2021,41(22):4987-4989.
[5] 中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南(第三版)[J].中华普通外科杂志,2017,32(9):807-812.
[6] VUUREN T,KURSTJENS R L M,WITTENS C H A,et al.Illusory angiographic signs of significant iliac vein compression in healthy volunteers[J].Eur J Vasc Endovasc Surg,2018,56(6):874-879.
[7] SANG H F,LI J H,DU X,et al. Diagnosis and endovascular treatment of iliac venous compression syndrome[J].Phlebology,2019,34(1):40-51.
[8] 欧阳林,周满臻,许斯鼎,等. 髂静脉压迫综合征的诊治路径及影响治疗效果的因素[J].中国介入影像与治疗学,2016,13(7):406-410.
[9] 陈锦州,朱培欣,牛国浩,等. 急性下肢深静脉血栓形成合并髂静脉压迫综合征的介入治疗[J].海南医学,2021,32(6):700-702.
[10] 王国亮,陆炜,程国兵,等. 腔内血管成形术治疗Cockett综合征的研究进展[J].浙江医学,2018,40(4):411-419.
[11] 何思略,李国林,林少芒,等. Wallstent支架在髂静脉应用中通畅率的多因素分析[J].中国医师杂志,2021,23(3):455-457.
[12] 张豪,汪海洋,罗海龙. 下肢深静脉血栓形成合并髂静脉受压综合征腔内治疗进展[J].重庆医学,2020,49(9):1530-1533.
[13] 钟少波,艾文佳,张智辉,等. 球囊扩张联合支架植入治疗非血栓性髂静脉压迫综合征的疗效分析[J].中国血管外科杂志(电子版),2020,12(3):231-234. |
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2023, Vol. 40 
