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对左髂总静脉进行手术前移可改善May-Thurner综合征患者的静脉流出并提高生活质量。

Surgical anteriorization of the left common iliac vein results in improved venous outflow and quality of life for May-Thurner syndrome.

作者信息

Nagarsheth Khanjan, Fitzpatrick Suzanna, Castillo Lidia, Abdulrahman Lena, Dunlap Eleanor

机构信息

Division of Vascular Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, MD, USA.

University of Maryland School of Medicine, Baltimore, MD, USA.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Mar 26;10(3):101495. doi: 10.1016/j.jvscit.2024.101495. eCollection 2024 Jun.

DOI:10.1016/j.jvscit.2024.101495
PMID:38699665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11063597/
Abstract

May-Thurner syndrome or left iliac vein compression occurs when the left common iliac vein is compressed by the right common iliac artery, leading to venous outflow obstruction. This obstruction can cause venous hypertension, resulting in lower extremity swelling, discoloration, pelvic congestion, and venous ulcerations. The standard surgical treatment of May-Thurner syndrome is endovascular venous stent placement. In a small, single-center sample, surgical anteriorization of the left common iliac vein was used to treat symptomatic left common iliac vein compression in younger patients, alleviating their symptoms, and can be considered an alternative treatment.

摘要

梅-图二氏综合征或左髂静脉受压是指左髂总静脉被右髂总动脉压迫,导致静脉流出道梗阻。这种梗阻可引起静脉高压,进而导致下肢肿胀、变色、盆腔充血和静脉溃疡。梅-图二氏综合征的标准外科治疗方法是血管腔内静脉支架置入术。在一个小型单中心样本中,对年轻患者采用左髂总静脉手术前移术治疗症状性左髂总静脉受压,缓解了他们的症状,可被视为一种替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/11063597/fc881ab39237/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/11063597/b5daf21dcb5d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/11063597/d46fac342271/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/11063597/fc881ab39237/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/11063597/b5daf21dcb5d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/11063597/d46fac342271/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/11063597/fc881ab39237/gr3.jpg

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Editor's Choice - Quality of Life after Stenting for Iliofemoral Venous Obstruction: A Randomised Controlled Trial with One Year Follow Up.编辑精选 - 髂股静脉阻塞支架置入术后的生活质量:一项为期一年随访的随机对照试验。
Eur J Vasc Endovasc Surg. 2023 Nov;66(5):678-685. doi: 10.1016/j.ejvs.2023.07.044. Epub 2023 Jul 28.
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Back Pain and Right Leg Swelling: Unusual Presentations of May-Thurner Syndrome.背痛与右腿肿胀:May-Thurner综合征的不典型表现
Cureus. 2023 Mar 10;15(3):e35984. doi: 10.7759/cureus.35984. eCollection 2023 Mar.
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Iliac vein compression: epidemiology, diagnosis and treatment.
髂静脉受压:流行病学、诊断与治疗
Vasc Health Risk Manag. 2019 May 9;15:115-122. doi: 10.2147/VHRM.S203349. eCollection 2019.
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Impact of degree of stenosis in May-Thurner syndrome on iliac vein stenting.May-Thurner 综合征狭窄程度对髂静脉支架置入术的影响。
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May-Thurner: diagnosis and endovascular management.梅-图二氏综合征:诊断与血管内治疗
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Outcomes of endovascular intervention for May-Thurner syndrome.May-Thurner综合征的血管内介入治疗结果。
J Vasc Surg Venous Lymphat Disord. 2013 Jul;1(3):270-5. doi: 10.1016/j.jvsv.2012.11.002. Epub 2013 May 18.
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Endovascular management of may-thurner syndrome.May-Thurner综合征的血管内治疗
Ann Vasc Dis. 2012;5(2):217-21. doi: 10.3400/avd.cr.12.00007.
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