Chevalier J M, Enon B, Moreau P, Dauver A, Simard C, Pillet J
J Mal Vasc. 1982;7(2):111-9.
Cockett's syndrome may arise from intraluminal adhesions near the distal end of the left common iliac vein, bone or arterial compression, etc. These synechiae are frequently observed, numerous embryological and histological arguments suggesting their congenital origin. A common complication of these synechiae is a left phlebitis, but they do not appear to be a determining factor for the development of thrombosis, and are otherwise usually asymptomatic. When complications do arise, as in the 31 cases reported, surgical treatment should involve early angioplasty in young subjects, or a late Palma-Dale type of shunt in elderly patients and those with a history of a left iliac thrombosis.
科克特综合征可能由左髂总静脉远端附近的腔内粘连、骨骼或动脉压迫等引起。这些粘连很常见,众多胚胎学和组织学证据表明其先天性起源。这些粘连的常见并发症是左静脉炎,但它们似乎不是血栓形成的决定性因素,否则通常无症状。当出现并发症时,如在报告的31例病例中,年轻患者的手术治疗应包括早期血管成形术,老年患者以及有左髂静脉血栓形成病史的患者则应进行晚期帕尔马-戴尔型分流术。