介入治疗布加综合征48例分析  

International treatment of 48 cases of Budd-chiari syndrome

作　　者：魏绪龙[1] 曾金球[2] 刘少强[2] 翟建坤[1] 辛志业[1] 

机构地区：[1]广东省东莞市太平人民医院放射科,东莞523900 [2]中山大学附属第一医院放射科

出　　处：《山西医科大学学报》2005年第2期215-216,共2页Journal of Shanxi Medical University

摘　　要：目的回顾总结介入方法治疗布加综合征48例的临床经验,探讨布加综合征血管内介入治疗的价值。方法分析48例在造影明确诊断后行血管内介入治疗方法①下腔静脉(IVC)狭窄扩张或破膜扩张;②IVC扩张并内支架置入术;③经右颈静脉肝静脉(HV)再通成形术。结果17例共23次行IVC破膜扩张或狭窄扩张,29例次应用IVC破膜扩张或狭窄扩张后置入内支架。其中1例因弥漫性HV发育不良而转外科手术,1例术后死于急性心功能衰竭。10例HV阻塞患者中8例成功施行经右颈静脉HV再通成形术。术后IVC压力下降(1.53±0.41)kPa。结论介入治疗布加综合征安全有效,应成为治疗本病的首选方法。Objective To study the value of endovascular therapy for Budd-Chiari syndrome through summing up and analyzing authors'clinical experience. Methods Forty-eight patients diagnosed by angiography were involved. Therapeutic methods included: ①Transcatheter inferior vena cava(IVC) membranotomy and occlusion dilatation; ②IVC dilatation with stent posting; ③Recanalization and angioplasty via right jugular hepatic vein(HV). Results All 23 case-times dilatation in 17 patients were performed, and 29 cases were placed stents simultaneously. Operation was performed in 1 patient because of the diffuse HV dysplasia and 1 case died of acute cardiac failure in 8 of 10 performed with HV occlusion. The HV angioplasty was successfully performed. The range of reduced IVC pressure was (1.53±0.41) kPa. Conclusion The interventional treatment of Budd-Chiari syndrome is safe and effective. It is the first choice for the treatment of this disease.

关 键 词：放射学 介入性 肝静脉血栓形成 布加综合征 

分 类 号：R815[医药卫生—放射医学]