摘要
目的：探讨置管溶栓联合分期球囊扩张治疗布加氏综合征合并下腔静脉血栓的临床应用。方法：全组15例，均经彩色多普勒超声证实为布加综合征合并下腔静脉血栓，同时行CT检查7例，造影检查8例。先经股静脉入路置入溶栓导管于下腔静脉内，抗凝和溶栓治疗7～10d，然后行病变段开通和分期球囊扩张治疗。结果：15例血栓基本消失或明显缩小，其中2例一期球囊扩张成功，13例行分期球囊扩张治疗。术后15例随访6～24个月，平均13．1个月。13例症状和体征完全消失，2例明显改善，无肺栓塞、血管撕裂、心包填塞等并发症发生。结论：置管溶栓联合分期球囊扩张治疗布加氏综合征合并下腔静脉血栓安全有效，具有临床可行性。
Objective ： To discuss the clinical application of transeatheter thrombolytic therapy combined with staging balloon catheter dilation treating Budd - Chiari syndrome with inferior vena cava thrombosis. Methods：15 cases who had been proved Budd -Chiari syndrome with inferior vena cava thrombosis through color Doppler sonograpby, 7 cases received CT examination preoperatively and 8 cases performed angiography. First, they underwent thrombolysis catheter through femoral vein into the inferior vena eava, after 7 - 10 days of anticoagulation and thrombolysis, lesion segment opening treatment and balloon dilatation were conducted. Results： 15 cases of thrombosis disappeared or significantly reduced, among them, two cases of successful balloon angioplasty of one step, 13 patients with staging balloon dilatation. After treatments, 15 cases were followed up for 6 to 24 months,with an average of 13.1 months, symptoms and signs of 13 patients completely disappeared and 2 cases significantly improved, without pulmonary embolism, blood vessels tear, pericardial tamponade and other complications. Conclusions ：Transcatheter thrombolytic therapy combined with staging balloon dilatation treating Budd - Chiari syndrome with inferior vena cava thrombosis is safe and effective, and it has clinical feasibility.
出处
《解剖与临床》
2012年第3期226-229,共4页
Anatomy and Clinics
关键词
布加氏综合征
下腔静脉
血栓
溶栓
扩张
Budd - Chiari syndrome
Inferior vena cava
Thrombosis.
Thrombolysis
Dilatation
