下腔静脉型布加综合征的介入治疗  

Interventional treatment of Budd-Chiari syndrome with inferior vena cava obstruction

作　　者：王宝明[1] 刘凤永[2] 宋鹏[2] 王茂强[2] 王洪新[1] 潘鑫[1] 

机构地区：[1]中国医科大学附属第四医院放射科,沈阳110032 [2]解放军总医院介入放射科

出　　处：《中国医师进修杂志（外科版）》2008年第12期18-20,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨介入治疗下腔静脉型布加综合征的意义及注意事项。方法选择下腔静脉型布加综合征45例，采用经下腔静脉球囊扩张术和，或支架植入术治疗，观察治疗前后下腔静脉造影血流情况。结果球囊扩张后造影显示下腔静脉再通，血流通畅，部分患者术后24h内术前的临床表现及体征明显改善或消失。1例患者合并急性血栓，球囊扩张后植入支架1枚；2例因闭塞段过长，手术失败；2例术后复发。未出现肺动脉栓塞、出血等严重并发症。结论介入治疗下腔静脉型布加综合征是安全、有效的方法，可作为首选治疗手段。Objective To evaluate the significance and of interventional treatment in Budd-Chiari syndrome with inferior vena cava （IVC） obstruction. Method Forty-five patients with Budd-Chiari syndrome with IVC obstruction were treated by combined interventional methods such as pereutaneous transluminal angioplasty （PTA） with balloon catheters and stents. Results After PTA with balloon catheters and stents, venography proved IVC were reopened. After the systemic treatment, clinical symptoms completely or partly disappeared in 24 hours. One patient with acute thrombosis was treated by PTA and stent, 2 patients failed because of IVC obstruction were too long, 2 patients recurred IVC obstruction after interventional treatment. No pulmonary embolism and hemorrhage occurred during the procedure, of treatment. Conclusion The interventional treatment in Budd-Chiari syndrome with IVC obstruction is safe and effective.

关 键 词：肝静脉血栓形成 腔静脉 下 放射学 介入性 

分 类 号：R657.34[医药卫生—外科学] R735.7[医药卫生—临床医学]