Greiner Milka, Gilling-Smith Geoffrey L
Service de Radiologie Vasculaire, Hôpital Petiè-Sapêtrierè, Paris, France.
Vascular. 2007 Mar-Apr;15(2):70-8. doi: 10.2310/6670.2006.00030.
This article reports the investigation and treatment of 24 women presenting with recurrent lower limb varicosities secondary to reflux within the pelvic venous circulation. Diagnosis based on selective retrograde pelvic phlebography enabled precise identification and classification of sites of incompetence. A total of 74 veins were treated by embolization with platinum coils and glue prior to repeat surgery to the lower limb veins. At 4-year follow-up, signs of stasis had disappeared in all patients. Repeat phlebography revealed no evidence of recurrent reflux at the sites of treatment. One patient developed recurrent varices due to incomplete embolization of incompetent pelvic veins. Endovascular occlusion of incompetent pelvic veins is an effective treatment for varicose veins secondary to pelvic venous incompetence.
本文报道了24例因盆腔静脉循环反流继发复发性下肢静脉曲张的女性患者的调查与治疗情况。基于选择性逆行盆腔静脉造影的诊断能够精确识别功能不全的部位并进行分类。在对下肢静脉进行再次手术之前，共对74条静脉采用铂圈和胶水进行栓塞治疗。在4年的随访中，所有患者的淤血迹象均已消失。再次静脉造影显示，治疗部位无复发性反流迹象。1例患者因盆腔功能不全静脉栓塞不完全而出现复发性静脉曲张。对功能不全的盆腔静脉进行血管内闭塞是治疗盆腔静脉功能不全继发静脉曲张的有效方法。
