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作 者:马秀现[1] 叶学祥[1] 冯留顺[1] 张水军[1] 许培钦[1] 秦保明[1] 李天晓[1] 韩新巍[1]
机构地区:[1]河南医科大学第一附属医院
出 处:《普外临床》1996年第6期339-340,324,共3页
摘 要:采用球囊扩张下腔静脉成形术治疗布-加综合征40例。40例中男18例,女22例。病程1~24年。病理类型为膜性下腔静脉阻塞(37例)和短节段性下腔静脉阻塞(3例)。本组病例总扩张成功率为92.5%(37/40)。1例因肺梗塞而死亡;5例下腔静脉侧壁被穿刺导丝刺穿,后者均经非手术治疗痊愈。随访3至38个月,2例症状复发并再次接受手术治疗。作者指出,球囊导管扩张下腔静脉成形适应于布-加综合征的某些病理类型,如膜性下腔静脉阻塞和短节段性下腔静脉阻塞,可取得满意的效果。若B超或/和下腔静脉造影显示下腔静脉内有血栓者,则为球囊扩张成形术的绝对禁忌证。Abstract Forty patients with Budd-Chiari syndrome (B-CS)were treated by percutaneous transluminal angioplasty (PTA) using balloon catheter dilatation technic. There were 18 males and 22 females with history from 1 to 24years. The pathomorphological types were of membraneous obstruction (37) and short segmental obstruction (3) of inferior vena cava. In this group,the total success rate was 92. 5% (37/40). One patient died of pulmonary infarction. The caval veins were perforated by the guide wire in 5 cases,but all of them were cured without any operation. 3 ~ 38 months follow-up revealed,2 recurrence necessitating further surgery. The authors indicated that the indication of PTA is indicated for some types of B-CS, such as membranous and short segmental obstruction (< 3cm) of inferior vena cava. Thrombus detected by B-US or/and caval venography is controindication for PTA.
分 类 号:R657.340.5[医药卫生—外科学]
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