肝静脉阻塞型Budd－Chiari综合征的介入治疗（附10例报告）  

Interventional Therapy of Budd-Chiari Syndrome with Occlusion of Hepatic Vein

作　　者：徐克[1] 赵钟春[1] 韩铭钧[1] 张曦彤[1] 何芳显[1] 王执民[1] 张汉国[1] 王长龙[1] 

机构地区：[1]中国医科大学第一临床医院放射科,第四军医大学唐都医院介入放射科

出　　处：《中华放射学杂志》1995年第7期469-473,共5页Chinese Journal of Radiology

摘　　要：肝静脉阻塞型Ｂｕｄｄ－Ｃｈｉａｒｉ综合征（ＢＣＳ）既是内外科临床治疗的“难治之症”，也是介入放射学领域尚未完全解决的课题。作者采用肝静脉开通术（ＰＴＡ及ＥＭＳ置入术等）和经颈静脉肝内门腔静脉内支架分流术（ＴＩＰＳＳ）对１０例肝静脉阻塞型ＢＣＳ进行了治疗，取得了满意的临床效果。作者认为：肝静脉开通术是治疗肝静脉口部狭窄或闭塞型ＢＣＳ的较为合理而且安全有效的非手术方法。尽管它较下腔静脉开通术的难度和风险更大些，但临床效果显著持久，因而，应将其作为此类ＢＣＳ的首选治疗方法。但对不适于此项治疗者，即肝静脉广泛阻塞型ＢＣＳ则可将ＴＩＰＳＳ作为主要的治疗手段。Budd-Chiari syndrome with hepatic vein stenosis or occlusion (HVBCS)is an in- tractable disease of surgery and internal medicine,and also a difficuIt problem,still under investiga- tion with interventional radiology.This article reported 10 patients with HVBCS who were treated by percutaneous transluminal angioplasty(PTA ),EMS placement and transjugular intrahepatic por- tosvstemic stent shunt(TIPSS) with satisfactory results. Canalization of hepatic vein is a resonable,safe and effective method for treatment of BCS with hepatic vein ostia occlusion. Although it is risky and difficuIty,the long term clinical effect is marked. Therefore,this method should be taken as the first choice in the treatment of HVBCS.But it is not indicated in extensive HVBCS for which TIPSS is a better alternative.

关 键 词：肝 布-加综合征 血管成形术 门腔静脉分流术 

分 类 号：R657.340.5[医药卫生—外科学]