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1、1Acute iliac - femoral vein thrombosis in patients with surgical treatment of Analysis: Diaoxin Qing Chen Ping Yang Mu Songfu Bo Zhang Juwen Abstract Objective To investigate the surgical treatment of acute iliac - femoral vein thrombosis. Method of acute iliac - femoral vein thrombosis in patients
2、with 15 cases, all the treatment of surgical thrombectomy, balloon expandable stent implantation in 10 cases results without surgery complications, the effect of surgery after surgery with anti-six months, there are three cases of patients still have mild lower extremity edema, symptoms of the remai
3、ning patients, improved quality of life. conclusions based surgery treatment is acute iliac - femoral vein thrombosis direction of development of the treatment. Keywords: iliac - femoral vein thrombosis; surgery; treatment outcomes ABSTRACT ObjectiveTo explore surgical therapy for patients with acut
4、e iliofemoral vein thrombosis (IFVT). MethodsFifteen 2patients with acute IFVT were treated with thrombectomy, and, at the same time, a balloon dilatation and stent placement were performed in 10 cases.ResultsFollow-up of six months after surgery showed that there were three patients had a mildedema
5、 of lower extremity, the others were without any symptoms, and quality of live improved.ConclusionThe co-therapy to surgery for the primary is the development direction in the treatment of acute iliofemoral vein thrombosis. KEY WORDS iliofemoral vein thrombosis, acute; surgical procedures, operative
6、; treatment outcome For the treatment of acute iliac - femoral vein thrombosis is still controversial. Most scholars believe that the acute iliac - femoral vein thrombosis is often associated with iliac vein compression syndrome should be taken to the anticoagulant, thrombolytic and other non-surgic
7、al treatment, but not The surgical treatment of blood clots completely dissolved low, the data show that only 28% success rate of iliac - femoral vein thrombolysis, and it is difficult to effectively prevent the occurrence of deep vein thrombosis syndrome. In recent years, with the 3development of i
8、nterventional techniques, the surgical treatment of deep venous thrombosis formation to develop and be taken seriously. Conducted a retrospective analysis of patients clinical data on 15 cases of acute iliac - femoral vein thrombosis, acute iliac - femoral vein thrombosis Surgical treatment results
9、reported below. 1 clinical data 1.1 General Information 2007-2009, the Qixia City Peoples Hospital Vascular Surgery, Qingdao University Medical College Affiliated Yantai Yuhuangding of hospital vascular surgery were treated in patients with acute iliac - femoral vein thrombosis formation 15 cases, 9
10、 males and 6 females; aged 32 to 68 years, the average 46.8 years old. duration of 3 to 15 d, with an average 6.7 (d) all patients had varying degrees of lower limb edema, superficial venous engorgement and pain, tenderness of the femoral venous pathways, HOMAN positive signs are, by color Doppler u
11、ltrasound, venography, and (or) surgery confirmed. 1.2 treatment Off fatal pulmonary embolism in 4order to prevent blood clots in the surgical process, this group of patients first through the contralateral femoral vein implanted in the inferior vena cava filter, the filter proximal end position gen
12、erally opt for the lower 1 cm opening in the renal vein and then through the groin incision femoral vein incision embolectomy under the guidance of the X-ray selected 8F Fogarty venous embolectomy catheter inserted to the proximal end of about 15 to 20 cm (equivalent to the left common iliac vein te
13、rminal segment), the catheter more than blocked need to adjust the catheter insertion angle or, even with the guide wire guided into the inferior vena cava. filled balloon pulled back in the location of the iliac vein crest significantly blocked, indicating the presence of iliac vein compression syn
14、drome, as far as possible under the DSA take net iliac, femoral vein thrombosis, as embolectomy catheter delivered to the ipsilateral iliac vein or ascending lumbar vein, remove the thrombus within the lumen of the above vein, in order to facilitate venous blood through the pelvic venous plexus or a
15、scending lumbar vein reflux, the maximum elimination of limb swelling. take the appropriate diameter after the embolectomy 5balloon repeated expansion of the iliac vein stenosis segment, surgery re-imaging to confirm the patency of iliac - femoral vein lumen remarkable expansion of the narrow segmen
16、t of the iliac vein, some of the blood may .10 patients by pelvic venous plexus or ascending lumbar vein reflux at the same time the balloon expandable stent implantation. postoperative limb every day to give urokinase 50 to 1 million units of thrombolysis, treatment of 7 10 d; postoperative first 3 d low molecular weight heparin 000 U subcutaneously, every 12 h, injection of 1, while oral warfarin, low molecular weight heparin and warfarin dosage adjus
