Møller I W, Eickhoff J H, Hansen H J, Lindewald H
Acta Chir Scand Suppl. 1980;502:141-5.
The iliac compression syndrome results from reduced venous return from the left leg due to pressure from the right common iliac artery on the underlying left common iliac vein where it enters the inferior vena cava. The pressure results in intravenous band and adhesion formation which can lead to iliofemoral thrombosis with insufficient recanalization. We present such a case in a young man who had swelling, venous claudication, siderosclerosis, and skin ulcers. The syndrome was diagnosed by pelvic phlebography, arteriography, venous emptying time, and venous pressure measurement. Palma's crossover operation was performed, in which the contralateral great saphenous vein was transposed subcutaneously to the ipsilateral common femoral vein peripheral to the obstruction. To avoid graft thrombosis, a temporary arterio-venous fistula was created. Follow-up six months after the operation showed the operative result to the satisfactory.
髂静脉压迫综合征是由于右髂总动脉压迫其下方进入下腔静脉的左髂总静脉，导致左腿静脉回流减少所致。这种压迫会导致静脉束带和粘连形成，进而可能导致髂股静脉血栓形成且再通不充分。我们报告了一名患有肿胀、静脉性跛行、铁质硬化和皮肤溃疡的年轻男性患者的此类病例。该综合征通过盆腔静脉造影、动脉造影、静脉排空时间和静脉压力测量得以诊断。实施了帕尔马交叉手术，即将对侧大隐静脉经皮下转位至同侧股总静脉梗阻部位的外周。为避免移植血管血栓形成，建立了一个临时动静脉瘘。术后六个月的随访显示手术效果令人满意。
