Causes of groin lymphatic fistula after transluminal ultrasonic angioplasty in the treatment of deep vein thrombosis of lower extremity
- VernacularTitle:超声消融治疗下肢深静脉血栓形成及术后并发腹股沟部淋巴瘘原因探讨
- Author:
Xingli ZHOU
;
Cuiju CHEN
;
Shuguang GUO
;
Cunping YIN
- Publication Type:Journal Article
- Keywords:
T HROBMBOPHLEBITIS/surg;
UITRASONIC ABLATION/adv eff;
LYMPHATIC FISTULA/etiol
- From:
Chinese Journal of General Surgery
1993;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the causes of groin lymphatic fistula after transluminal ultrason ic angioplasty (TUA) in the treatment of deep vein thrombosis(DVT) of lower extremity through groin incision. Methods A retrospective anal ysis of the causes of groin lymphatic fistula(GLF) in 72 patients with DVT after treatment of ultrasonic ablation was made. ResultsTUA and thr ombectomy using Forgaty balloon catheter for DVT of lower extremity achieved successful recanalization in all the 72 cases (100%). Of the 72 cases,51 had i liac vein stenosis,the venous stenosis disappeared after balloon dilation;amo ng the 51 cases ,6 cases received stent placement. GLF occurred postoperati vely in 60 cases. No death occurred in this series. ConclusionsTUA is an effective method in the treatment of DVT of lower extremity,but t he incidence of postoperative GLF is high.The causes of GLF may be related to the injury of lymphatic vessels, increase of quantity of lymph flow induced by increased venous pressure, infection, surgical technique factors and postop erative medicine therapy etc.
