DeStephano C C, Werner E F, Holly B P, Lessne M L
Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
1] Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA [2] Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI, USA.
J Perinatol. 2014 Jul;34(7):566-8. doi: 10.1038/jp.2014.38.
One of the least recognized risks for the development of deep venous thrombosis (DVT) is iliac vein compression or the May-Thurner Syndrome (MTS), in which most often, the right common iliac artery compresses the subjacent left common iliac vein. We present three patients with MTS complicated by massive left lower extremity DVT managed with percutaneous pharmacomechanical thrombectomy during pregnancy. Although often not considered in obstetrics, percutaneous therapies to resolve extensive thrombosis should be considered in pregnant women, as they have the potential to improve symptoms and mitigate the risk of developing post-thrombotic syndrome.
深静脉血栓形成（DVT）发展过程中最不为人知的风险之一是髂静脉受压或梅-图二氏综合征（MTS），其中最常见的情况是右髂总动脉压迫下方的左髂总静脉。我们报告了三名患有MTS并伴有大量左下肢DVT的患者，她们在怀孕期间接受了经皮药物机械性血栓切除术治疗。尽管在产科中通常不考虑，但对于孕妇，应考虑采用经皮治疗来解决广泛的血栓形成问题，因为这些治疗有可能改善症状并降低发生血栓后综合征的风险。
