| 徐一丁,蔡旭升,仲斌演,王孝运,杨超,段鹏飞.“一站式”治疗Cockett综合征合并下肢静脉曲张临床疗效[J].中国介入影像与治疗学,2019,16(9):568-572 |
| “一站式”治疗Cockett综合征合并下肢静脉曲张临床疗效 |
| Clinical outcome of one-stop treatment of Cockett syndrome combined with varicose veins |
| 投稿时间：2019-04-09 修订日期：2019-07-11 |
| DOI：10.13929/j.1672-8475.201904022 |
| 中文关键词: Cockett综合征 下肢 静脉曲张 髂静脉 支架 |
| 英文关键词:Cockett syndrome lower extremity varicose veins iliac vein stents |
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| 中文摘要: |
| 目的 评估"一站式"方法（同期行髂静脉支架植入术和下肢静脉曲张术）治疗Cockett综合征合并下肢静脉曲张的安全性、有效性。方法 对58例Cockett综合征合并下肢静脉曲张患者行"一站式"治疗，观察并记录术后并发症情况、有无静脉曲张复发，比较术前和术后门诊随访1、3、6、12个月时静脉临床严重程度评分（VCSS）、阿伯丁静脉曲张问卷（AVVQ）评分及髂静脉支架通畅率。结果 对58例患者均成功施行"一站式"治疗，技术成功率100%。3例活动性溃疡患者术后1个月内溃疡完全愈合。术后无下肢深静脉血栓、肺栓塞等严重并发症发生。术后1、3、6、12个月VCSS和AVVQ评分较术前均明显降低（P均<0.001）；随访至12个月，髂静脉支架通畅率为100%，无下肢静脉曲张复发。结论 "一站式"方法治疗Cockett综合征合并下肢静脉曲张的安全性和有效性良好，短期髂静脉支架内通畅率满意，具有一定推广价值。 |
| 英文摘要: |
| Objective To evaluate the safety and efficacy of one-stop treatment (iliac vein stenting and varicose vein surgery) for Cockett syndrome combined with varicose veins of lower limbs. Methods There were 58 cases diagnosed as Cockett syndrome combined with varicose veins of lower limbs underwent one-stop treatment. The postoperative complications and with or without varicose veins recurrence were observed, venous clinical severity score (VCSS), Aberdeen varicose vein questionnaire (AVVQ) score and iliac vein stent patency rate of preoperative and postoperative followed up 1, 3, 6 and 12 months were recorded. Results All the 58 patients underwent one-stop treatment successfully, and the technical success rate was 100%; 3 patients with active ulcer healed completely within 1 month after operation; there were no severe complications such as deep vein thrombosis and pulmonary embolism occurred. The VCSS and AVVQ scores at 1, 3, 6 and 12 months after operation were significantly lower than those of before surgery (all P<0.001). At 12 months follow-up, the patency rate of iliac vein stent was 100%, and there were no recurrence of varicose veins in lower limbs. Conclusion The one-stop treatment for Cockett syndrome combined with varicose veins of lower limbs has good safety and effectiveness, and the short-term iliac vein stent patency rate is satisfactory, which has a certain promotion significance. |
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