Budd-Chiari综合征的介入治疗  

The Clinical Application of Interventional Treatment in BuddChiari Syndrome

作　　者：梁惠民[1,2] 冯敢生 杨建勇[1,2] 郑传胜 江利[1,2] 吴汉平 

机构地区：[1]同济医科大学附属协和医院放射科 [2]德国沙尔大学临床医院放射科

出　　处：《临床放射学杂志》1998年第4期235-237,共3页Journal of Clinical Radiology

摘　　要：目的：研究和评价Ｂｕｄｄ－Ｃｈｉａｒｉ（ＢＣＳ）综合征的介入治疗结果。材料与方法：对２３例各型ＢＣＳ患者在Ｂ超及透视监视下采用闭塞部位穿刺、球囊扩张及支撑架技术进行治疗。结果：２２例成功，无严重手术并发症，术后患者症状明显缓解，腔静脉压差由２．４±１．１ｋＰａ降为０．７±０．２ｋＰａ，肝静脉压差由２．８±０．９ｋＰａ降为０．５±０．３ｋＰａ。经过６个月～４年随访，通畅率８２％，复发病例经再次治疗均获成功。结论：采用介入技术治疗ＢＣＳ，安全、损伤小、效果可靠。Objective: To study and evaluate the results of interventional treatment of BuddChiari syndrome (BCS).Materials and Methods:Twentythree patients with BCS of various types were treated with puncture of the obstructive segment, angioplasty and placement of intravascular stent under the guidance of both sonography and fluoroscopy.Results:Success was achieved in 22 cases. The symptomes disappeared or markedly improved. The pressure gradient in IVC dropped from 2.4±1.1kPa to 0.7±0.2kPa and in HV from 2.8±0.9kPa to 0.5±0.3kPa. The patients were followedup for 6～48 months with the recurrence of symptoms in 4 cases, recurrent cases were responded well to second therapy.Conclusion: The interventional treatment of BCS is relative safe, effective and less invasive, should be taken as first choice.

关 键 词：布-加综合征 介入疗法 血管成形术 

分 类 号：R657.340.5[医药卫生—外科学]