Analysis Of The Curative Effect Of Minimally Invasive Treatment Of Non-thrombotic Iliac Vein Compression Syndrome In Patients With Varicose Veins Of Lower Extremities

ObjectiveTo evaluate the efficacy of minimally invasive treatment of severe non-thrombotic iliac vein compression with varicose veins of lower extremity,and to explore the timing and necessity of endovascular treatment of varicose veins of lower extremity after iliac vein compression.MethodsFrom January 2016 to December 2017,73 patients with severe non-thrombotic iliac vein compression syndrome accompanied by varicose veins were treated in the Department of Vascular surgery,Jinan Central Hospital.According to the different treatment schemes after endovascular treatment of iliac vein,we divided them into three groups: 15 patients without varicose veins of lower extremity(group A)and 32 patients with varicose veins of affected limbs who received minimally invasive treatment of varicose veins of affected limbs in one stage(group A).A total of 26 patients(group C)were treated with minimally invasive treatment of varicose veins in the second stage(group B).The time and condition of operation,the complications related to operation,the time and cost of hospitalization,the patency and occlusion of deep and superficial veins of lower extremity after operation were followed up and counted.The CEAP clinical grade of the patients was reevaluated.The postoperative recovery was evaluated by telephone or outpatient questionnaire.The questionnaire included VCSS score and CIVIQ-2 score.Finally,by analyzing the data of each group,the curative effect of each group was compared and analyzed.Results1.The CEAP grading,VCSS score and CIVIQ-2 score of each follow-up node in the three groups were significantly improved compared with those before operation,and the difference was statistically significant(P<0.05).The patients in group B and group C were treated with minimally invasive treatment of varicose veins(group B)and minimally invasive treatment of varicose veins(group C)after endovascular treatment of iliac veins(group B)and minimally invasive treatment of secondary varicose veins(group C).CEAP grading and VCSS were severe in both groups before and after follow-up.The score of degree was compared with that of CIVIQ-2quality of life scale.It doesn’t make much difference.There was no statistical significance(P > 0.05).3.Compared with the simple iliac vein intracavitary treatment group(group A),In the primary or secondary varicose vein minimally invasive treatment group(group B,group C),the clinical severity score of VCSS,the CIVIQ-2 life therapy score scale and the number of C0 were significantly improved at each node after operation.The difference was statistically significant(P < 0.05).4.There was no significant difference in the incidence of postoperative complications between the first stage varicose vein minimally invasive treatment(group B)and the second stage varicose vein minimally invasive treatment(group C)after the iliac vein intracavitary therapy was relieved of iliac vein compression(P < 0.05).However,the duration and cost of primary varicose vein laser minimally invasive treatment(group B)were significantly less than those of secondary varicose vein minimally invasive treatment(group C).Conclusion1.For patients with non-thrombotic iliac vein compression syndrome accompanied by varicose veins,the quality of life will be significantly improved after endovascular treatment of iliac vein to relieve the compression,combined with good postoperative compression treatment and drug treatment.The recent curative effect is worthy of affirmation.2.For patients with non-thrombotic iliac vein compression syndrome and varicose veins at the same time,minimally invasive treatment of varicose veins can be performed at the same time after endovascular treatment of iliac vein compression syndrome,which can cure both the symptoms and the root causes,and the curative effect is definite.It is an ideal combined treatment for severe non-thrombotic iliac vein compre-ssion syndrome with varicose veins of lower extremity..3.For patients with non-thrombotic iliac vein compression syndrome accompanied by varicose veins,there was no significant difference in the incidence of postoperative complications between patients with severe non-thrombotic iliac vein compression syndrome and varicose veins.However,there are obvious advantages in hospitalization time,hospitalization cost and other aspects of primary treatment,which is worth popularizing.