Surgical Treatments for 8 cases with Iliofemoral Deep Venous Thrombosis

摘要：Objective: To explore the diagnosis,approprite operational opportunity and operational methodsof iliofemoral deepvenous thrombosis(DVT). Methods: The clinical data of 8 Patients with iliofemoral DVT from Jan 2000～Jul 2002 were analyzed.Results: 8patients with iliofemoral DVT diagnosised by magnetic resonance direct thrombusimaging (MRDTI) using 3Dfresh bloodimaging and duplex ultrasound scan underwent operation which were taken from retroperinoum. The thombectomy using Forgartytube were performed in all cases, of which 4cases were combined with iliaccaval grafting and lcase was combined with an cross shuntabove pubis. The cure rate and the improving rate were 66.7% and 33.3% respectively. Death and complications were not found afteroperation. Conclusions: Invasive venography can be replaced by non-invasive MRDTI using 3dfresh blood imaging and duplexultrasound for the diagnosis of iliofemoral DVT. The caurse of the disease could not be determined if the operation was taken butduplex ultrasound scan was significant for determining thrombectomy. A full exploration of left common iliac vein at inferior venacava bifurcation should be routinely performed. The iliofemoral DVT mainly caused by abnormality of iliac vein might be performedby iliaccaval grafting or cross shunt above pubis.