恶性肿瘤所致的上腔静脉综合征的介入治疗  

Interventional therapy of superior vena cava syndrome cause by malignant carcinoma

作　　者：王宝明[1] 潘鑫[1] 

机构地区：[1]中国医科大学附属第四医院介入科,辽宁沈阳110032

出　　处：《现代肿瘤医学》2014年第1期173-175,共3页Journal of Modern Oncology

摘　　要：目的:探讨恶性肿瘤所致上腔静脉阻塞综合征的介入治疗方法和疗效。方法:回顾分析我院介入治疗10例上腔静脉阻塞综合征患者的临床资料。10例患者中,男6例,女4例,年龄35-68岁,治疗前后测量梗阻流入端血管内压力。结果:所有患者接受了支架置入治疗。梗阻流入端测得静脉压力在开通前为(27.0±6.2)cmH2O,开通后为(14.5±3.2)cmH2O,差异有统计学意义(P<0.01)。临床症状完全缓解7例,部分缓解3例,10例均无严重并发症。结论:对恶性肿瘤所致上腔静脉综合征的患者,行介入治疗可以迅速解除梗阻,恢复血流通畅,降低梗阻远端静脉的压力,缓解临床症状。Objective：To study the effect of interventional therapy and it＇s outcomes of superior vena cava syndrome（SVCS） caused by malignant carcinomas. Methods： Ten patients with stenosis or occlusion of SVC and its branches were retrospectively analyzed after interventionaI therapy. Among them,6 were males and 4 were females, with age range from 35 to 68 years old（mean age 55）. All the 10 patients accepted stenting. Before and after that, the pressures within the vein were measured at the inflow side. Results：All 10 patients underwent endovascular stent placement. After treatment,the pressure at the inflow side dropped from（27.0 ±6.2）cmH2O to（14.5 ± 3.2） cmH2 O, with a significant difference （ P 〈 0.01 ）. The clinical outcomes included complete relief in 7 patients, pattial relief in 3 patients. No major complications occurred during 3 months follow up. Conclusion： Interventional therapy for superior vena cava syndrome（SVCS） caused by malignant carcinomas could recanalize the vessels, restore the blood flow and relief the chnical symptoms.

关 键 词：上腔静脉综合征 介入治疗 支架 

分 类 号：R730.58[医药卫生—肿瘤]