摘要
目的：研究下腔静脉节段性狭窄闭塞及合并肝静脉阻塞和血栓形成Ｂｕｄｄ－Ｃｈｉａｒｉ综合征（ＢＣＳ）的介入治疗。材料与方法：本组１２例，男１１例，女１例；年龄１９～５０岁，平均２８．８岁。１２例中１０例为下腔静脉肝段闭塞，２例为狭窄，狭窄闭塞长度为２．０～１５．５ｃｍ，平均５．６ｃｍ；并有１～３支不等肝静脉阻塞１０例。对下腔静脉完全闭塞者用Ｂｒｏｃｋｅｎｂｒｏｕｇｈ穿刺针行闭塞段穿通术，对肝静脉完全闭塞者应用Ｒｕｐｓ－１００肝穿装置行穿通术。尔后行经皮球囊导管成形术（ＰＴＡ）及血管内支架置入术。结果：本组１０例下腔静脉节段性闭塞，９例行闭塞段穿通术、ＰＴＡ及血管内支架置入术均成功，另１例因侧支循环建立较好仅做了肝静脉穿通扩张术。本组２例节段性狭窄行ＰＴＡ后再发狭窄，第２次ＰＴＡ时置入了内支架。本组还对４支阻塞的肝静脉实施了开通术。术后下腔静脉压由术前２１．５±３．０ｍｍＨｇ（１ｍｍＨｇ＝０．１３３ｋＰａ）降至１５．１±３．１ｍｍＨｇ。术后患者主要症状及体征即有不同程度好转。本组随访时间１．５～２６个月，平均８．５个月，未见临床症状及体征复发。结论：（１）对节段性狭窄闭塞ＢＣＳ合理的治疗方法是ＰＴＡ后置入内支架，?
Purpose:Toevaluatethetherapeuticefectofinterventionalprocedureinthetreat-mentofsegmentalstenotic-occlusiveBudd-Chiarisyndrome.Materialsandmethods:Twelvecasesweretreatedincluding11malesand1females,age19～50yearsaveraging28.8years.Tencaseshadoclusionofhepaticsegmentofinferiorvenacava(IVC),2caseshadstenosis.Lengthofstenotic-oc-clusivesegmentwas2.0～15.5cmaveraging5.6cm.Oclusionof1～3branchesofhepaticveinwaspresentin10cases.Treatmentbeganwithpunctureoftheoccludedsegmentfolowedbypercuta-neoustransluminalangioplasty(PTA)andplacementofstent.Results:Nineof10casesofsegmen-talocclusiononIVCweresucesfulycanalizedfolowedbyPTAandstenting.Onecasewithwelestablishedcolateralcirculationreceivedonlypunctureanddilatationofhepaticvein.TwocasesofsegmentalstenosisdevelopedrestenosisafterinitialPTA.PTAwasagainperformedandsupplement-edbystenting.IVCpresuredroppedfrom21.5±3.0mmHgto15.1±3.1mmHg(1mmHg=0.133kPa)aftertheprocedurewithimprovementofsymptomsandsigns.Folowupstudyafter1.5～26monthsaveraging8.5monthsdidnotshowrecurrenceofsymptomsandsigns.Conclusion:PTAfolowedbystentingisanefectivetherapeuticprocedureforsegmentalstenotic-occlusiveBCS
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第9期611-615,共5页
Chinese Journal of Radiology
关键词
布-加综合征
介入疗法
HepaticveinthrombosisHepaticveno-oclusivediseaseAngioplasty,transluminalCatheterization,centralvenous
