Women have unknown reasons for their left leg swelling. Doctors: This kind of sick woman is more common

The 35 -year -old Yuan Ying (pseudonym) lived in Xinhua County. She found that her left leg was swollen a month ago. As swelling increased, she came to Changsha Central Hospital (Changsha Central Hospital of Nanhua University). After the treatment, it was diagnosed as "left -side iliac vein compression syndrome" after being performed. According to doctors, because female lumbosacral influence is more obvious than men, most of the iliac vein compression syndrome occurs mostly in young women.

It is understood that Yuan Ying had swollen left and lower limbs of unknown reasons a month ago, and gradually aggravated, and the edema at the knee joint was particularly obvious. After the local hospital, the diagnosis of venous venous thrombosis in the left lower limb muscle was given oral anticoagulant drugs, but there was no significant improvement, and the left abdomen began to appear pain and discomfort.

In order to further treat it, Yuan Ying came to Changsha Middle Hospital (Changsha Central Hospital affiliated to Nanhua University) peripheral vascular intervention department clinics. B -ultrasound examination found that its left lower limb muscle venous thrombosis still exists.

The outpatient doctor suggested that she was admitted to the hospital for further diagnosis and treatment. After the vascular angiography examination, she found that the patient's left limb vein was stensed with stenosis, and the iliac veins were formed.

Liu Shiyi, deputy director and deputy chief physician of the peripheral vascular intervention department of Changsha Middle Hospital (Affiliated to Nanhua University), introduced that the left side of the left side of the iliac vein compression syndrome refers In a pass, this pass is in front of the right iliac artery, and the back is the spine that protrudes forward.

When this seam is narrowed or squeezed with each other for various reasons, it will cause damage or inflammatory changes, endometrial hyperplasia, and even the formation of thrombosis, which hinders the blood flow of the left lower limbs and pelvic cavity, thereby generating a one Series clinical symptoms.

"Because female lumbosacral influence is more obvious than men, there is a certain incidence of iliac vein compression syndrome in young women. During the menstrual period, the pelvic organs were congested, and the intra -intravascular pressure of the iliac vein and side branch vein increased the symptoms of swelling of the lower limbs. "Liu Shiyi analyzed that the patient first diagnosed the left lower limb intramuscular vein thrombosis. Intragal vein thrombosis is generally not serious. It can relieve the condition by resting, raising the affected limb, and anticoagulant therapy.

However, the patient's condition was not completely alleviated. At this time, it is necessary to consider whether there are thrombosis in the iliac vein and lower cavity vein. Simple ultrasound examination cannot diagnose whether there are thrombosis in the iliac vein and lower cavity veins, and it is necessary to determine it through vascular angiography, because blood vessels can see changes in the blood vessels more directly, see changes in the density of see -through, or you can see a point -like shape. , Long strip -like filling defect and blood flow interruption phenomenon.

"If the internal thrombosis of the iliac vein and the lower cavity vein is diagnosed, the consequences of acute and chronic periods are very serious." Liu Shiyi, deputy director and deputy chief physician of Changsha Central Hospital (Changsha Central Hospital of Nanhua University) It is emphasized that the acute phase may cause leg swelling and even pulmonary embolism, which is dangerous. The chronic stage can cause the formation of the rash, or the lower limb veins, chronic skin discoloration, pigmentation, and even the limb ulceration, and do not heal for a long time.

After clarifying the "left iliac vein compression syndrome", the peripheral vascular intervention team was expanded and stent implanted by the patient's total iconic vein stenosis through the intervention of minimally invasive therapy. Symptoms of lower abdomen pain disappeared quickly.

(Create analogy. The image is inserted into the exterior vein of the left iliac vein, the multi -side vascular opening (shown in the orange arrows), and the near -heart of the left iliac vein is full of filling defects (at the blue arrow).)

The balloon dilatation is placed in the left -handed album image after the bracket. The image shows that the head end of the bracket is about 1cm of the left iliac vein, and the distance from the right wall is about 0.5cm distance. The bracket position is very good;

Liu Shiyi, deputy director and deputy chief physician of the peripheral vascular intervention department of Changsha Middle Hospital (Affiliated to Nanhua University) Liu Shiyi reminds the public that if the iliac vein compression syndrome occurs, the soreness of the lower limbs will occur. Calf or feet edema, lie down or limbs after lifting;

Those with a long course of the disease, shallow veins can occur in the calf and gradually change the skin nutrients of the ankle skin, including skin atrophy, desquamation, pigmentation, skin or subcutaneous tissue, eczema and cure ulcers, and even after pubic bones or hips. Varic veins or sperm veins. Therefore, it is recommended to seek medical treatment early to clear the diagnosis to avoid delay treatment.

(Edit ZS. Part of the picture source network, invading deletion)

Special Author of Hunan Medical Chat: Changsha Middle Hospital (Changsha Central Hospital affiliated to Nanhua University) Liu Shiyi Qin Lu

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