髂静脉压迫综合征(iliac vein compression syndrome,IVCS)是下肢静脉高压原因之一,和原发性下肢深静脉瓣膜功能不全容易混淆,诊断需依赖血管造影等辅助检查,采用介入手段逐渐成为治疗的趋势。IVCS常见于左侧,临床表现为下肢静脉高压,如肿胀、静脉曲张、色素沉着、湿疹样改变、甚至发生静脉性跛行和经久不愈的溃疡,容易和原发性下肢深静脉瓣膜功能不全相混淆,也是左下肢急性深静脉血栓形成的潜在原因。本文就IVCS的诊治进展作一综述。 Iliac vein compression syndrome (IVCS) is one of the causes of lower extremity venous hypertension and is easily confused with primary lower extremity deep venous insufficiency. The diagnosis is dependent on angiography and other auxiliary examinations, and gradually becomes an intervention by means of intervention trend. IVCS common in the left side of the clinical manifestations of venous hypertension, such as swelling, varicose veins, pigmentation, eczema-like changes, and even the occurrence of venous claudication and chronic ulcers, and primary deep venous insufficiency of the lower limb phase Confusion, but also a potential cause of acute left venous thrombosis. This article reviews the progress of diagnosis and treatment of IVCS.