本文選題：髂靜脈受壓綜合征　切入點：螺旋計算機斷層掃描　出處：《南昌大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:評估右側(cè)、左側(cè)髂股靜脈血栓形成患者和無癥狀人群的右髂靜脈受壓程度。方法:首先,報道一例典型的右側(cè)髂靜脈受壓綜合征病例,分析其計算機斷層掃描(computed tomography,CT)及下肢靜脈造影檢查結(jié)果。其次,回顧性分析200例無癥狀人群(男:女100:100)的CT檢查結(jié)果。最后,前瞻性分析79例下肢深靜脈血栓形成(DVT)患者(左DVT:右DVT,47:32)。評估髂靜脈的內(nèi)徑和狹窄率。結(jié)果:無癥狀的人群中,13.5%右髂靜脈狹窄率50%,2.0%右髂靜脈狹窄率70%,平平均狹窄率為23.48%;45.0%左髂靜脈狹窄率50%和17.0%左髂靜脈狹窄率70%,平均狹窄率為47.58%。右髂靜脈夾在右髂外動脈和髂內(nèi)動脈之間是最常見的右髂靜脈受壓方式,占59.26%。在右髂靜脈平均狹窄率方面,右側(cè)髂股靜脈DVT患者高于左側(cè)髂骨靜脈DVT患者(48.54%:22.29%,P0.001);在左側(cè)髂靜脈平均狹窄率方面,左側(cè)髂股靜脈DVT患者高于右側(cè)髂靜脈DVT患者(71.88%:45.83%,P0.001)。結(jié)論:右髂靜脈受壓同左側(cè)髂靜脈受壓一樣是一種正常的血管解剖走行方式。右髂靜脈夾在右髂外動脈和髂內(nèi)動脈之間是最常見的右髂靜脈受壓方式。正常人群中嚴重的右髂靜脈受壓發(fā)生率低于嚴重的左髂靜脈受壓發(fā)生率。右髂股靜脈血栓患者具有較嚴重的右髂靜脈受壓。
[Abstract]:Objective: To evaluate the degree of compression of the right iliac vein of patients and asymptomatic people formed the left iliac femoral venous thrombosis. Methods: first, report a case of right iliac vein compression syndrome of typical cases, analysis of the computed tomography (computed tomography, CT) and venography results. Secondly, a retrospective analysis of 200 cases of asymptomatic patients (male: female 100:100) CT examination results. Finally, a prospective analysis of 79 cases of lower extremity deep venous thrombosis (DVT) patients (left and right DVT: DVT, 47:32). The evaluation of iliac vein diameter and stenosis rate. Results: the asymptomatic population, 13.5% right iliac vein stenosis rate was 50% 2%, the right iliac vein stenosis rate was 70%, the mean stenosis rate was 23.48%; 45% left iliac vein stenosis rate was 50% and 17% in the left iliac vein stenosis rate was 70%, the average rate of 47.58%. stenosis of the right iliac vein between artery and iliac artery in the right iliac vein is the most common iliac right Compression, accounting for 59.26%. in the right iliac vein stenosis of the average rate, the right iliac vein in patients with DVT is higher than that of the left iliac vein in patients with DVT (48.54%: 22.29%, P0.001); the average rate of the left iliac vein stenosis, left iliac femoral vein in patients with DVT is higher than that of the right iliac vein of DVT patients (71.88%: 45.83%, P0.001). Conclusion: the right iliac vein compression with left iliac vein compression is a normal vascular anatomic way. Right iliac vein between the artery and iliac artery in right internal iliac compression is the most common way of the right iliac vein. The incidence rate is lower than the left iliac vein compression severe right iliac vein compression occurs in the normal population. The right iliac femoral venous thrombosis in patients with severe right iliac vein compression.

【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R654.4

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