下腔静脉隔膜型Budd-Chiari综合征介入治疗后复发病因探讨  

作　　者：徐超[1] 徐凯[1] 戚云杰[1] 

机构地区：[1]徐州医学院附属医院影像科,江苏221002

出　　处：《当代医学》2013年第11期1-2,共2页Contemporary Medicine

摘　　要：目的探讨下腔静脉隔膜型(MOVC)Budd-Chiari综合征(BCS)介入术后复发的可能病因。方法对20例MOVC型BCS介入术后复发患者行MRI及DSA检查并行介入治疗,观察患者下腔静脉阻塞类型、隔膜与肝静脉位置关系。结果下腔静脉(IVC)内仅有血栓形成5例,下腔静脉内同时有血栓及隔膜形成12例,下腔静脉内仅有隔膜形成3例;复发隔膜位于肝右静脉以上13例,位于肝右静脉以下2例。结论下腔静脉血管内皮损伤可能为MOVC患者术后复发的始动因素,血栓与隔膜形成之间关系密切,为复发的直接原因。Objective To investigate the causes of recurrence of Budd-Chiari syndrome （BCS） with membranous obstruction of the inferior vena cava （MOVC） after interventional therapy. Methods MR and DSA examinations were performed in 20 relapsing cases,and all the patients were treated with interventional therapy. to observe the type of inferior vena cava （IVC） obstruction and the relationship between the membrane and hepatic veins with DSA and MRI. Results 5 patients only had thrombus in the IVC, 12 patients had membrane and thrombus in the IVC, 3 patients only had membrane in the IVC. The location of the membrane is higher than the right hepatic vein in 13 cases and lower in 2 cases. Conclusion The injury of vascular endothelium in IVC is the possible initial factors of recurrence of BCS with MOVC. The thrombus has high correlation with the occurance of membrane, both were the direct causes of recurrence of BCS.

关 键 词：BUDD-CHIARI综合征 下腔静脉隔膜 介入治疗 

分 类 号：R575[医药卫生—消化系统]