Røder O C, Lorentzen J E, Hansen H J
Acta Chir Scand. 1984;150(1):31-4.
The results of 46 consecutive operations for iliofemoral venous thrombosis are presented. Phlegmasia cerulea dolens with impending venous gangrene was present preoperatively in 21 of the 46 patients and pulmonary embolism was suggested by preoperative perfusion scintigraphy in at least 10 patients. There was no surgical mortality. In no case was there additional pulmonary embolism during or after the operation. At follow-up 5 months postoperatively, 44% of the patients were asymptomatic. After a mean observation period of 10 years the corresponding figure was 40%. Surgical management of venous iliofemoral thrombosis should be considered for patients with impending venous gangrene.
本文呈现了46例连续进行的髂股静脉血栓形成手术的结果。46例患者中，21例术前存在伴有即将发生静脉坏疽的股青肿，至少10例患者术前灌注闪烁扫描提示有肺栓塞。无手术死亡病例。术中及术后均未发生额外的肺栓塞。术后5个月随访时，44%的患者无症状。平均观察10年后，相应比例为40%。对于有即将发生静脉坏疽的患者，应考虑手术治疗髂股静脉血栓形成。
