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髂静脉压迫综合征伴后胡桃夹综合征一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Radiology
- Issue:
- 10
- DOI:
- 10.3760/cma.j.issn.1005-1201.2017.10.023
- Key Word:
- No keyword available
Abstract： 患者 女,56岁,因左下肢肿胀10年入院.体检:左下肢全程肿胀,左侧髌骨结节近端15 cm处周径较对侧长8 cm,远端15 cm处周径较对侧长6 cm.踝部、足背压陷性水肿,浅表未见迂曲血管团及色素沉着,对侧肢体未见异常.下肢静脉超声未见静脉血栓.尿红细胞阳性(+++),蛋白阴性.腹部强化CT显示主动脉后型左肾静脉并伴有左肾静脉受压(图1),远心段扩张(图2).下肢静脉造影显示左侧髂静脉受压,周围侧支循环形成(图3),遂行髂静脉成形术.超声引导下行左侧腘静脉穿刺,置入血管鞘后全身肝素化,于左侧受压髂静脉行球囊扩张后,植入12 mm×80 mm Wallstent支架1枚,再次造影显示狭窄消失.
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