外科理论与实践

外科理论与实践 >

2024 , Vol. 29 >Issue 06: 487 - 492

DOI: https://doi.org/10.16139/j.1007-9610.2024.06.05

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下肢静脉曲张合并非血栓性髂静脉压迫的诊疗策略

  • 丁财有 ,
  • 吴劲进 ,
  • 朱越锋
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  • 1.浙江大学医学院附属第四医院，国际医学院，国际健康医学研究院，普外科，浙江 义乌 322000
    2.浙江大学医学院附属邵逸夫医院血管外科，浙江 杭州 310020
朱越锋，E-mail: srrshzyf@zju.edu.cn

收稿日期: 2024-10-21

  网络出版日期: 2025-03-17

基金资助

浙江省中医药科学研究基金资助项目(2011ZB079);浙江省医药卫生科技项目(2024KY1184)

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Diagnostic and treatment strategies for varicose veins of lower extremities combined with non-thrombotic iliac vein lesion

  • DING Caiyou ,
  • WU Jingjin ,
  • ZHU Yuefeng
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  • 1. Department of General Surgery, the Fourth Affiliated Hospital of School of Medicine, International School of Medicine, International Institutes of Medicine, Zhejiang University, Zhejiang Yiwu, 322000 China
    2. Department of Vascular Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Hangzhou 310020, China

Received date: 2024-10-21

  Online published: 2025-03-17

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摘要

下肢静脉曲张合并非血栓性髂静脉压迫在临床上并不少见，两者的临床表现相似，但其严重程度并无线性相关性，因此需要详尽的检查后个体化分析病人的病因，进而拟定治疗策略。同期处理两种疾病可以同时解决深、浅静脉问题，加快改善临床症状，尤其是静脉性溃疡愈合，但其整体费用高，且存在医保超支等问题，而分期处理两种疾病可以密切随访后决定是否进行另一疾病治疗，但存在疾病进展风险。本文就下肢静脉曲张和非血栓性髂静脉压迫两种疾病的病因、诊断、分级、治疗等进行文献综述，探讨最佳的治疗策略。

关键词： 下肢静脉曲张; 非血栓性髂静脉压迫; 下肢深静脉血栓形成

本文引用格式

丁财有 , 吴劲进 , 朱越锋 . 下肢静脉曲张合并非血栓性髂静脉压迫的诊疗策略[J]. 外科理论与实践, 2024 , 29(06) : 487 -492 . DOI: 10.16139/j.1007-9610.2024.06.05

Abstract

The co - existence of lower extremity varicose veins and non - thrombotic iliac vein lesions is not uncommon in clinical practice. The clinical manifestations of the two are similar, but there is no linear correlation between their severity. Therefore, a thorough examination is required to individually analyze the causes of patients, and then formulate treatment strategies. Treating the two diseases simultaneously can resolve both superficial and deep venous issues, accelerate the improvement of clinical symptoms, especially the healing of venous ulcers. However, the overall cost is high, and there are issues such as exceeding medical insurance limits. Treating the two diseases in stages allows for a decision on whether to treat the other disease after close follow - up, but there is a risk of disease progression. This article reviewed the literature on the etiology, diagnosis, grading, and treatment of lower extremity varicose veins and non - thrombotic iliac vein lesions, and explored the optimal treatment strategies.

Key words： Varicose veins of lower extremities; Non-thrombotic iliac vein lesion(NIVL); Deep vein thrombosis(DVT)

参考文献

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