摘要
目的:探讨血管内支架置入治疗上腔静脉综合征(SVCS)的临床价值。方法:采用经皮穿刺股静脉插管的方法对15例上腔静脉综合征(SVCS)患者行上腔静脉狭窄段球囊扩张,并置入"Z"形不锈钢裸支架。术前常规行上腔静脉CTA了解病变位置、范围、狭窄程度及管径大小。结果:15例患者均一次成功共置入支架16枚,上腔静脉血流恢复通畅。临床症状3～7 d内显著改善。随访3～12个月后患者因原发病死亡时亦无阻塞症状复发。结论:血管内支架治疗SVCS是一种有效的姑息治疗方法,但为了进一步延长这类患者的生存期,提高生存质量,需重视原发病本身的治疗。
Objective：To discuss the clinical value of treatment for SVCS by endovascula stent.Methods：15 patients′ SVCS had been treated with balloon expansion by percutaneous puncture femoral venous cannula and inserted ＂Z＂-shaped bare stainless steel stent.To understand the location,the scope,extent of stenosis and size of affection.Results：15 patients were all inserted 16 stents successfully and the blood current of SVC recovered easily and smoothly.Clinical symptom improved significantly within 3～7 days.after follow-up of 3～12 months,there were no recurrence of obstructive symptoms even if the patiens died of primary disease.Conclusions：The Treatment for SVCS by endovascula stent is alleviative treatment with striking curative effect.It is necessary to treat primary disease for extending patient′s life span and elevating Quality of Life.
出处
《航空航天医学杂志》
2012年第10期1188-1190,共3页
Journal of Aerospace medicine
关键词
上腔静脉综合征
血管内支架
成形术
Superior Vena Cava Syndrome（SVCS）
Endovascula Stent
Plasty
