| Objective Thirty-six patients with non-thrombotic iliac vein compression syndrome were treated by simultaneous operation and 41 patients by stages.The length of operation,stent placement,complications,length of hospitalization,cost of hospitalization,curative effect,recurrence and stent patency during follow-up were compared and analyzed in order to provide reference for the surgical treatment of non-thrombotic iliac vein compression syndrome.Methods The clinical data of 77 patients with non-thrombotic iliac vein compression syndrome admitted to the First Affiliated Hospital of Zhengzhou University from May 4,2015 to July 2016 were retrospectively analyzed.41 cases were divided into control group and 36 cases were divided into observation group.The clinical data of all cases were analyzed,and the follow-up period was 13-48 months.Statistical software SPSS21.0 was used to analyze the differences of operation duration,stent placement during operation,complications,length of hospitalization,cost of hospitalization,curative effect,recurrence and stent patency during follow-up between the two groups.There was significant difference in setting P < 0.05.Results Following up for 13-48 months,2 cases of recurrent superficial varicose veins in the control group and 1 case of recurrent varicose veins in the observation group were treated with varicose sclerotherapy injection or local varicose vein stripping under local anesthesia.No recurrence was found during the follow-up period.Subcutaneous congestion occurred in 3 cases in the control group.The pain and discomfort of lumbar back and lower abdomen appeared in 15 cases of control group and 11 cases of observation group during or after operation.The pain and discomfort gradually disappeared after operation,and no special analgesic treatment was carried out.In the control group,the operation time was(177.80 +22.72)minutes,no stent was placed in operation in 3 cases,one stent in 31 cases,two stents in 7 cases,postoperative complications in 3 cases,length of stay in hospital(16.95 +4.95)days,hospitalization cost(47.76 +0.29 million yuan),swelling relief rate 88.00%(22/24),ulcer healing rate 85.71%(6/7),pain relief rate 87.50%(14/16),and operation.The patency rates of stents at 6 months and 12 months were 97.56%(40/41)and 92.69%(38/41),respectively.Observation group: operation duration:(127.53 +24.84)min,intraoperative stent-free in 3 cases,stent-free in 27 cases,stent-free in 6 cases,postoperative complications in 0 cases,length of hospitalization(12.64 +3.65)days,hospitalization costs(44.48 +0.23 million yuan),swelling relief rate during follow-up 85.71%(18/21),ulcer healing rate 83.33%(5/6),pain relief rate 84.62%(11/13),recurrence in 1 case,branch The patency rates at 6 months and 12 months were 97.22%(35/36)and 94.44%(34/36)respectively.T-test was used to compare the age and course of disease between the two groups.Chi-square test was used to compare the proportion of men and women in the two groups and rank sum test was used to compare the CEAP classification of the two groups before operation.The results showed that there was no significant difference(P > 0.05).There was no significant difference in stent placement between the two groups by rank sum test(P > 0.05).Chi-square test compared two groups of patients with complications,postoperative recurrence,swelling relief rate,ulcer healing rate,pain relief rate and stent 6 months and 12 months of normal rate,the results showed no significant difference(P > 0.05).T-test compared the length of operation,length of hospitalization and hospitalization costs between the two groups,the difference was statistically significant(P< 0.05).Conclusion Simultaneous iliac vein stent implantation and superficial vein surgery are similar to those performed by stages in the treatment of non-thrombotic iliac vein compression syndrome.However,they can shorten the operation time,hospitalization time and reduce hospitalization costs. |
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