To evaluate the efficacy and safety of one-stop hybrid operation on iliac vein compression syndrome (IVCS) combined with lower extremity varicose veins.

The clinical data of 91 patients diagnosed with IVCS combined with lower extremity varicose veins from August 2013 to July 2017 were analyzed. All the cases were divided into two groups according to different treatments, 49 cases underwent IVCS and lower extremity varicose veins operation at the same time (one-stop hybrid operation group, group A) , and 42 cases were firstly operated with IVCS, then underwent lower extremity varicose vein operation during a hospital stay (state operation group, group B) .

There was no significant difference in iliac vein primary patency rate, ulcer healing rate and swelling relief rate at 12 months in the two groups[ (100% vs. 100%) , (100% vs. 100%) , (87.50% vs. 88.89%) , P>0.05]. The difference in hospitalization days and expenses [ (13.50±2.30) vs. (16.61±3.28) d, (37.7±3.2) vs. (43.7±2.0) thousand Yuan, P<0.05] was statistically significant. Complications were mainly inguinal bleeding and hypodermic blood stasis with corresponding improvement after symptomatic treatment, so there was no statistically significant difference [6.12% (3/49) vs. 4.76% (2/42) , P>0.05]. There were no deep venous thrombosis, pulmonary embolism, stent thrombosis, etc occurring in the two groups.

One-stop hybrid operation for IVCS combined with lower extremity varicose veins has good short-term efficacy, less invasive, short hospital stay and low cost, which is worthy of clinical promotion.