原发性肝癌致下腔静脉阻塞的介入治疗  

Interventional therapy for inferior vena cava obstruction caused by hepatic cancer

作　　者：崔进国[1] 梁志会[1] 周桂芬[1] 田惠琴[1] 

机构地区：[1]石家庄白求恩国际和平医院放射科,050082

出　　处：《介入放射学杂志》2006年第9期537-538,共2页Journal of Interventional Radiology

摘　　要：目的研究介入治疗肝癌所致下腔静脉梗阻的疗效及方法。方法6例患者,临床主要症状有腹胀、腹壁静脉曲张和下肢浮肿等。均为肝右叶病变压迫侵蚀下腔静脉所致的狭窄阻塞。治疗方法采用先溶栓,而后球囊扩张和内支架植入。结果6例患者狭窄阻塞的下腔静脉均开通成功,下腔静脉血流通畅,压力由术前的4.0kPa(1kPa=7.5mmHg)降至2.1kPa,无严重并发症。结论采用介入方法开通由于肝癌所引起的下腔静脉狭窄阻塞,疗效肯定,可提高患者的生活质量,延长患者的生存时间。Objective To study the method and effectiveness of interventional therapy for the stenotic or obstructive inferior vena cava （IVC） caused by hepatic cancer. Methods All together 6 patients were enroled, 4 males and 2 females, with age of 45 to 58 years, average 53 years. The main symptoms including abdominal distention, varices on abdominal walls and edema in lower extremities were caused by compression or involvement of IVC with fight hepatic lobe lesion. We performed thrombolysis first and follower by balloon dilation and stent placement. Results IVC were recanalized in all 6 patients with free patent blood flow. The postal venous pressure dropped from 4.4 kPa to 2.1 kPa without major complications. Conclusions Treating the IVC stenosis and obstruction caused by primary liver cancer with interventional method is safe and effective together with improvement of life quality and prolongation of survival time. （J Intervent Radiol, 2006, 15 ： 537-538 ）

关 键 词：肝癌 下腔静脉 狭窄或阻塞 介入治疗 血管成型术 

分 类 号：R735.7[医药卫生—肿瘤]