Fontaine M, Bosson J L, Bourgin Y, Villemur B, Michoud E, Guidicelli H, Magne J L, Carpentier P H, Franco A
Service de Médecine interne, CHU de Grenoble.
J Mal Vasc. 1996;21(3):153-7.
In order to test the responsibility of inferior vena cava clips in post thrombotic venous disease, we performed a comparative retrospective study 7 to 10 years after vena cava interruption by clip. Patients were compared with patients matched for sex, age, and prior deep vein thrombosis (same period and same localisation) but without inferior vena cava partial interruption. The results show that 1) functional complaints were significantly higher in the vena cava clip group; 2) valvular incompetency, in the initially thrombosed leg, (tested by scanning duplex) was not different in the two groups: 3) inversely, on the other leg, valvular incompetency was greater in the vena cava clip group. Furthermore this valvular incompetency was principally located at a femoral level, suggesting that the vena cava clip may induce backward thrombosis; 4) complications were independent of vena cava thrombosis.
为了测试下腔静脉夹在血栓形成后静脉疾病中的作用，我们在通过夹子进行腔静脉阻断7至10年后进行了一项比较性回顾性研究。将患者与在性别、年龄和既往深静脉血栓形成情况（同期且同一部位）相匹配但未进行下腔静脉部分阻断的患者进行比较。结果显示：1）下腔静脉夹组的功能障碍主诉明显更多；2）在最初发生血栓形成的腿部，两组间的瓣膜功能不全（通过双功超声扫描检测）无差异；3）相反，在另一条腿上，下腔静脉夹组的瓣膜功能不全更严重。此外，这种瓣膜功能不全主要位于股静脉水平，提示下腔静脉夹可能诱发逆向血栓形成；4）并发症与腔静脉血栓形成无关。
