摘要
目的 探讨植入国产金属支架介入治疗节段性良、恶性下腔静脉阻塞的临床价值。方法 4 8例患者中良性阻塞 30例 ,完全性 8例 ,不完全性 2 2例 ;恶性阻塞 18例 ,完全性和不完全性各 9例。采用经皮股静脉途径植入国产下腔静脉支架。结果 4 8例患者 ,平均病变长度 (5 .3± 2 .8)cm ,均一次手术成功 ,阻塞下方下腔静脉压由术前 (2 1.4± 5 .1)mmHg降为 (8.4± 3.3)mmHg(P <0 .0 1)。随访 3～36个月 ,术后下腔静脉通畅率为 83.3% ,无严重并发症 ;38例下腔静脉阻塞相关临床症状和体征完全消失 ,10例明显改善。结论 国产下腔静脉支架植入是治疗节段性良恶性下腔静脉阻塞的重要手段。
Objective To investigate the clinical value of home-made self-expandable metallic stent therapy for benign or malignant segmental obstruction of inferior vena cava (IVC). Methods 48 patients, including 30 cases of benignancy and 18 of malignancy, were underwent the home-made self-expandable metallic stent endovascular implantation of IVC. Results Of 48 patients, the average obstructive length of IVC were 5.3±2.8 cm. The IVC pressure below the obstruction varied from 21.4±5.1 mmHg of preoperation to 8.4±3.3 mmHg of postoperation(P<0.01). After once successful procedure, no serious procedure-related complications occurred. During 3～36 month follow-up, the patency of IVC stents reached 83.3%, the relative clinical symptoms and signs disappeared in 38 patients and markedly improved in 10. Conclusions Home-made self-expandable metallic stenting is an effective therapeutic method for benign or malignant segmental obstruction of IVC.
出处
《介入放射学杂志》
CSCD
2004年第6期506-508,共3页
Journal of Interventional Radiology
