摘要
目的探讨膜性布-加综合征(BCS)介入治疗的方法与疗效。方法对25例BCS患者的临床资料进行回顾性分析,并检测患者术前和术后的下腔静脉压力及静卧股静脉流速。结果 25例患者中15例采用单纯球囊扩张,10例采用球囊扩张联合支架置入;下腔静脉压力平均为术前(247.3±25.6)mm H2O,术后(103.8±12.9)mm H2O,差异有统计学意义(P<0.01);静卧股静脉流速平均为术前(11.22±1.45)cm/s,术后(15.16±3.03)cm/s,差异有统计学意义(P<0.05);患者术后均痊愈出院,随访15例,平均随访时间10个月,未见复发及并发症。结论 BCS患者治疗应首选介入球囊扩张术,对于膜厚的病例可联合支架置入术,手术创伤小、恢复快、效果肯定。
Objective To explore the methods and effectivenesses of interventional therapy of Budd-Chiari syndrome caused by membranous obstruction.Methods The clinical datas of 25 cases with membranous Budd-Chiari syndrome were analysed retrospectively,inferior vena cava pressure and femoral vein flow rate of 25 cases were detected both before and after the operation（preoperative and postoperative）.Results Simple balloon dilatation was applied in 15 cases,balloon dilatation and sent insertion was applied in 10 cases;the average inferior vena cava pressures were（247.3±25.6）mm H2O before the operation and（103.8±12.9）mm H2O after the operation,the difference was significant（P〈0.01）;the average femoral vein flow rates were（11.22±1.45）cm/s before the operation and（15.16±3.03）cm/s after the operation,the difference was significant（P〈0.05）.All cases were cured after the operation,15 cases were followed up,average 10 months,no recurrences and complications were detected.Conclusion Balloon dilatation is the first choice for membranous Budd-Chiari syndrome,balloon dilatation combine with sent insertion is used for some serious cases,it′s a significant method with little trauma and quick recovery.
出处
《重庆医学》
CAS
CSCD
北大核心
2012年第22期2256-2257,共2页
Chongqing medicine
关键词
布-加综合征
介入治疗
球囊扩张术
budd-chiari syndrome； interventional therapy； balloon dilatation
