Inoue球囊技术在下腔静脉成形术中的应用  

Clinical application of Inoue-balloon in percutaneous transluminal angioplasty for Budd-Chiari syndrome

作　　者：梅健[1] 屈健[1] 朱耀青 王磊[1] 刘成[1] 

机构地区：[1]江苏徐州解放军第97医院心内科,221004

出　　处：《介入放射学杂志》2007年第11期777-780,共4页Journal of Interventional Radiology

摘　　要：目的探索Inoue球囊技术用于治疗布加综合征的可行性及效果。方法89例布加综合征患者选择Inoue球囊技术行经皮腔内血管成形术。结果术后与术前相比,下腔静脉肝段内径均数(四分位间距)扩大[0.00(0.20～0.00)cm比1.90(2.00～1.47)cm,P<0.001],下腔静脉平均压力下降[(20.63±7.22)mmHg比(12.13±5.60)mmHg,(P<0.001)],使用Inoue球囊不需要小直径球囊预扩张,但有2例球囊破裂,无严重并发症。结论在下腔静脉成形术中使用Inoue球囊可行、有效且更为方便,能代替聚乙烯球囊。Objective To investigate the feasibility and effect of recanalization of inferior vena cava with percutaneous transluminal angioplasty（PTA）by Inoue-balloon. Methods Eighty-nine patients with Buddchiari syndrome（BCS）were treated with PTA by Inoue-balloon. Results After PTA, the median（interquartile range）diameter of hepatic segment inferior vena cava increased from 0.00 （0.20 ～ 0.00） cm to 1.90 （2.00 ～ 1.47）cm; （P 〈 0.001）, and the mean pressure of inferior vena cava reduced from（20.63 ± 7.22） mmHg to （12.13 ± 5.60） mmHg; （P 〈 0.001 ）; with only less serious complications as rupture in two cases and without need of prior minor diameter balloon dilation in Inoue-balloon PTA. Conclusion The advantages of Inoueballoon PTA for BCS are more reliable and facile than those of polyethylene balloon, and may take the place in the foreseen future.

关 键 词：布加综合征 腔静脉 下 气囊 血管成形术 

分 类 号：R543.6[医药卫生—心血管疾病]