Cockett

DVT341

. . 1985, 23: 135 .. 2002, 5123Peter N. Chronic deep venous obstruction. Definition,prevalence, diagnosis, management. Plebology 2008, 23: 149-157.Cockett 346 2010, 2: 163-165 .Cockett . 2004, 269-271 .. 2001, 6: 335-336 .. 2005, 20: 568-569 .940nm. 2005, 10: 82-84 . DIOMED. 2010,30:72-73 . . 2005, 5:668-670 . 2007, 14:478-480 . 240 . Journal of Chinese Physician 2004, 6: 108 .168. 2009, 9:1129-1131 1013 428 273 312 65 23 13 29Mississippi Negln 938 704 234 2083 632 507 944 126 41 53 53 2000 784 657 559 76 31 17 28 240 121 112 75 236 91 62 83 185 69 52 64 240 125 75 40 168 50 48 70 7370 3099 2103 2257(:1.47:1)

25 15 4 6 21 11 8 2 96 50 40 6 30 16 14 0 173 92 46 35 42 18 3 21 78 40 26 10 212 105 86 21 :347:227 = 1.57:1 . . 2011, 31: 445-446 . . 2010, 17: 92-93 . . 2009 4957-58 . . 201110: 468-469 . .2010, 2: 31-41 . . 2001, 16:115-116 . .2009, 8: 723-730 .(212. 2004 965-66

1908 McMurrich 1957 May and Thurner

1965 CockettThomas Wolpert LMRahmani OStein B, et al. Magnetic resonance venography in the diagnosis and management of May-Thurner syndrome.Vasc Endovasc Surg 2002, 36: 51-57

Moreland CTAAAAAA100 AAA: LCIV 37.8% 87% AAA 76% 37.8% CockettJ-Vasc-Surg. 2006 Sep; 44(3): 595-600

Vaidyanathan SHughes P, Soni BMet al. Occlusion of left common iliac vein by a distended urinary bladder in a male with paraplegia due to spinal cord injury. Spinal Cord; 2001, 39: 394-395

CockettDVT Cockett(%)Friedrich 1992 15 100 1998 73 81.5 Hoshino 2002 43 19.2 2002 40 100 2004 152 90.8Oguzkurt 2005 10 100... .2006p277

Oguzkurt. CTV 10 DVT Cockett 100%LCIV 68%Oguzkurt L, Tercan F,Pourbagher MA, et al. Computed tomography findings in 10 cases of iliac vein compression (May-Thurner) syndrome. Eur-J-Radiol. 2005 Sep; 55: 421-425

50 52.5% 120 27.5% 45 55.6% 100 25.0% ,. [J]. , 1984,(02) . . 1984, 2: 86-89,,. . , 1986, 26: 13-14,, . , 2003, 23: 745-746

Zentralbl Chir2001126(6): 450-455.BecqueminV 15%20%

Weber 20Zentralbl Chir2001126(6): 450-455.

1997.7~1998.2,73 V47.9% 59.6%(31/52) 19.4%(4/21)

Becquemin Weber . Cockett . 2001, 5: 276-277

1999~ 2001 148 LCIV LCIV 65.6% 68.5% 39.4% . 2004, 19: 269-271

68 71.05%(38/68) 1 . . 199720: 1-3CVD

LCIV 55.6%(50/90)LCIV (P< 0.05) 37.9%(22/58)

LCIV CVI52.2%(47/90) (P< 0.05)LCIV CVI48.3% (28/58) (IIIIV) CVI

CVD Cockett

Cockett : VCTV

PTS ()()

Cockett

CockettMay-ThurnerDVTCVD CockettCVDCVDCockettCVI Cockett

DVTDVTCockett

()>2cmH2O()CockettCockett

, , , -,-

PTA OR+STENT

PTAPTA30%STENT

>90

CVDCockettCVI

Cockett

20CockettCockett,Cockett . Cockett 200621903-905Cockett

THANK YOU FOR YOUR ATTENTION!