彩色多普勒超声引导下经皮气囊导管成形术治疗Budd-Chiari综合征  

Color doppler ultrasonographic guidance of percutaneous transluminal angioplasty for treatment of Budd Chiari syndrome

作　　者：李敬府[1] 杨宁[1] 赵荣国[1] 姜玉新[1] 

机构地区：[1]中国医学科学院协和医科大学北京协和医院

出　　处：《中华放射学杂志》1998年第12期845-847,共3页Chinese Journal of Radiology

摘　　要：目的探讨彩色多普勒超声（ＣＤＵ）引导经皮气囊导管成形术（ＰＴＡ）治疗ＢｕｄｄＣｈｉａｒｉ综合征（ＢＣＳ）的可行性及临床实用价值。方法ＢＣＳ患者９例。其中下腔静脉膜型闭塞５例，节段型闭塞２例和狭窄１例；右肝静脉闭塞１例。在ＣＤＵ的引导和监视下，经右股静脉分别对上述患者静脉狭窄或闭塞段进行穿刺和气囊扩张，并根据静脉内径、血流方向及频谱形态决定扩张程度。结果ＣＤＵ可清晰显示导管、导丝、穿刺针及气囊导管在血管中的位置，正确引导术者进行ＰＴＡ治疗，技术成功率１００％；血管形态和血流动力学是判断ＰＴＡ治疗效果的可靠指标。结论ＣＤＵ是一种引导ＰＴＡ治疗ＢＣＳ的安全。Purpose To evaluate the utility of color doppler ultrasonography (CDU) in the guidance of percutaneous transluminal angioplasty (PTA) for treatment of Budd Chiari syndrome (BCS). Methods Nine patients with BCS were studied, including membranous obstruction 5 cases, segmental obstruction 2 cases, and segmental stenosis of intrahepatic inferior vena cava 1 case, the remaining one case was segmental obstruction of right hepatic vein. Under the monitoring of CDU, PTA was performed using the right femoral vein approach in all nine patients. Determination of the technical success of PTA was based on the morphological and hemodynamical change at the site of blood vessel shown by CDU. After PTA the metallic stent was placed at the dilated site. Results Under the guidance of CDU, nine patients were successfully treated by PTA .CDU showed clearly the catheter guidewire and balloon catheter during the procedure. After PTA, the blood vessel diameter and blood flow at the site of stenosis or occlusion became normal . There were no complications in all cases. The initial technical success was 100%. Conclusion These results suggest that CDU is safe and useful in the guidance of PTA for treatment of BCS.

关 键 词：布-加综合征 CDU 彩色多普勒超声 血管成形术 

分 类 号：R657.340.4[医药卫生—外科学]