Observation On The Curative Effect Of Iliac Vein Compression Interventional Therapy On The Prognosis Of Lower Extremity Varicose Veins

Objective:To provide effective clinical treatment for patients with varicose veins of lower extremity accompanied by Iliac varicose syndrome and lower extremity varicose veins patients with one year and two years after operation.Methods:Review and analysis of 69 cases of ILIAC Venous Compression Syndrome accompanied with lower limb varicose veins from May 2013 to May 2016,affiliated to the University of Chengdu University of Chinese Medicine,the basic clinical data(including age,sex,course of illness,major clinical manifestations and post-operative symptoms)are recorded,patients were randomly assigned to Group A(traditional varicose veins)and Group B(interventional therapy + traditional varicose veins)according to the patient’s willingness to do so.The patients were followed up by the clinic and telephone one or two years after the operation,the follow-up included improvements in the patient’s symptoms(scored on a VCSS scale),the presence or absence of bleeding from the anticoagulants,and an ultrasound or an arteriogram of the lower extremity to check the flow of the ILIAC vein.The mean standard deviation was used for continuous variables,which showed that SPSS 22.0 software was used in the data analysis of this study.Results:1.The difference of sex,age distribution and VCSS score of Group A and Group B were all higher than 0.05,which was not statistically significant..2.In Group A and Group B,no patients died during the perioperative period and the success rate of the operation was 100%.In Group B,there were no postoperative complications such as retroperitoneal Hematoma and arteriovenous Fistula.In Group B,1 patient(stent implantation)had occasional abdominal distension after operation,and no obvious abnormalities were found in the arteriography and CT examination.3.In Group A and Group B,there was no significant improvement insymptoms one year after operation.Two years after operation,the symptoms of the two groups were improved statistically.There was significant difference between the two groups two years after operation and the degree of change of symptoms in one year.4.The thrombosis of lower extremity was not found in Group A and group B.In Group A,there were 2 cases of varicose veins in the lower limbs of patients in Group A and 1 case in Group B,all of them were left lower extremity varicose veins.In Group B,the Patency of ILIAC vein was 100% in Group B after doppler ultrasound or lower extremity angiography.5.In Group B,5 patients with oral anticoagulant showed hemorrhage reaction such as gingival hemorrhage and skin petechial stasis in 5 patients in Group B.Conclusion:1.For patients with ILIAC Venous Compression Syndrome,the success rate and safety of interventional treatment of Iliac Vein stenosis are high,and the long-term patency is high in the ILIAC VEIN.2.For patients with varicose veins of lower extremity accompanied by Iliac Vein Stenosis,the combined iliac vein interventional therapy based on traditional varicose veins surgery was not significantly different from that of the patients who performed varicose veins operation alone,however,the former patients improved their symptoms more obviously after long-term Operation.3.Combined with the study at home and abroad,patients with varicose veins of lower extremity with ILIAC vein stenosis should be recommended to treat ILIAC vein stricture and improve outflow tract in order to improve patients’ long-term quality of life.