单纯球囊扩张成形术治疗肝静脉型Budd-Chiari综合征（附10例报告）  

The Angioplasty of Hepatic Vein with Simple Balloon Catheter Technique in the Therapy of Budd-Chiari Syndrome

作　　者：于长路[1] 张德胜[1] 董卫国[1] 何以一[1] 李津花[1] 祁兵[1] 刘健[1] 

机构地区：[1]天津医科大学附属第三中心医院放射科,天津300170

出　　处：《实用放射学杂志》2009年第11期1652-1655,共4页Journal of Practical Radiology

摘　　要：目的评价经皮肝穿刺单纯球囊扩张成形术（PTA）在肝静脉型布-加综合征介入治疗中的应用价值和疗效。方法10例肝静脉狭窄或闭塞的布-加综合征患者，采用B超引导下经皮肝静脉穿刺的方法，实施单纯肝静脉球囊扩张血管成形术。结果10例患者在实施肝静脉球囊扩张血管成形术后效果显著，肝静脉狭窄闭塞处内径较前增宽，肝静脉压力下降，由PTA前平均32．6cmH2O降到PTA后平均16．9cmH2O，血流通畅。手术成功率100％。无严重并发症，术后腹水、肝功能损害、下肢水肿等症状均有明显改善。结论经皮肝穿刺肝静脉单纯球囊扩张成形术对肝静脉狭窄或梗阻型布-加综合征患者症状的缓解有显著疗效。Objective To investigate the value of utilization and efficacy of percutaneous transhepatic angioplasty（PTA） of hepatic vein with simple balloon catheter technique in treatment of Budd-Chiari syndrome（BCS）. Methods 10 BCS patients with stenosis or obstruction of hepatic vein were treated with simple balloon dilation of hepatic vein under guidance of ultrasound after applying angioplasty. Results There was a significant effect in 10 cases after angioplasty of hepatic vein with simple balloon dilation. The internal diameter of the hepatic vein was widened, the pressure of vein was descended （for mean 32. 6 cmH20 before PTA to 16. 9 cmH2O after PTA）. The successful rate of procedure was 100% The symptoms of BCS such as ascites,liver function and swollen of lower extremities were remarkably improved in all cases after treatment. Conclusion Percutaneous transhepatic angioplasty of hepatic vein with simple balloon catheter technique is of obviously effect for BCS patients with stenosis or obstruction of hepatic vein.

关 键 词：肝静脉 血管成形术 介入放射学 布-加综合征 

分 类 号：R815[医药卫生—放射医学] R575[医药卫生—临床医学]