不同类型Budd-Chiari综合征介入治疗研究  

The investigation of interventional therapy for different type of Budd Chiari syndrome

作　　者：李天晓[1,2] 韩新巍[1,2] 马文章[1,2] 冯广森[1,2] 程敬亮[1,2] 李荫太[1,2] 李树新[1,2] 

机构地区：[1]河南医科大学第一附属医院放射科 [2]河南医科大学第二附属医院

出　　处：《中华放射学杂志》1999年第3期181-184,共4页Chinese Journal of Radiology

摘　　要：目的探讨介入治疗方法在不同类型ＢｕｄｄＣｈｉａｒｉ综合征（ＢＣＳ）治疗中的作用和地位。方法２８９例ＢＣＳ患者进行了介入放射学治疗。根据不同类型采用的介入治疗方法有下腔静脉经皮球囊扩张成形术（ＰＴＡ）和支架植入术；经皮肝穿刺肝静脉开通和扩张术；经颈静脉或下腔静脉的肝静脉扩张术和支架植入术。结果按照下腔静脉造影和经皮肝穿刺肝静脉造影表现，在下腔静脉３种基本病变类型的基础上，依据肝静脉阻塞和回流状况分成１０个亚型。Ⅰ型１００％（１５４／１５４）进行了介入治疗，成功率９７％；Ⅱ型５１％（３３／６５）进行了介入治疗，成功率９７％；Ⅲ型８１％（５１／７０）进行了介入治疗，成功率９１％。严重并发症２例，占０．８％。结论介入放射学对多数类型的ＢｕｄｄＣｈｉａｒｉ综合征是一简单、安全有效的治疗方法，大部分可取代外科治疗。Objective To investigate the role and position of interventional therapy in different type of Budd Chiari syndrome. Methods 289 patients with BCS underwent interventional management .The interventional procedures included PTA and stent placement of inferior vena cava, percutaneous transhepatic recanalization and dilation(PTRD) of hepatic vein ,and percutaneous transjugular or transinferior vena cava(IVC) recanalization, dilation and stent placement of hepatic vein. Results All of these cases were classified into three main types based on the pathological changes of IVC,which were further subdivided into 10 subtypes according to status of hepatic vein obstruction .The number and success rate of interventional therapy were 154/154 case(100%) and 97% in typeⅠ, 33/65 case(51%)and 97% in typeⅡ, 51/70 cases(81%) and 90% in type Ⅲ respectively. Serious complications occurred in two cases (0.08%). Conclusions Interventional radiology is a simple,safe and effective therapy for Budd Chiari syndrome ,it can replace surgical treatment in most patients.

关 键 词：布-加综合征 介入放射学 PTA 

分 类 号：R657.340.5[医药卫生—外科学] R816.5[医药卫生—临床医学]