介入治疗布加综合征32例临床分析  

Clinical analysis of interventional therapy in 32 patients with budd-chiari syndrome

作　　者：崔健[1] 

机构地区：[1]亳州市人民医院,安徽亳州236800

出　　处：《局解手术学杂志》2014年第2期195-196,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨介入治疗在布加综合征患者中的应用效果。方法采用彩色多普勒超声与DSA联合引导下介入治疗布加综合征患者32例,探讨其临床效果。结果手术成功率为90.6%(29/32),其中置入下腔静脉支架11枚。术中均未发生肺动脉栓塞等严重并发症,无术中死亡病例。术后并发症发生率为12.5%(4/32),其中急性肾功能衰竭1例,经治疗无效死亡;急性心功能衰竭2例,经抗心力衰竭治疗后症状明显好转;另有1例患者于肝静脉破膜、扩张后当天出现血性腹水,予止血、抗感染治疗后好转。随访期间复发率为9.7%(3/31)。结论介入治疗在布加综合征患者中能够以较小的创伤、较快的恢复速度取得较为理想的治疗效果,目前已逐渐成为该病治疗的首选方法。Objective To discuss the clinical effects of interventional therapy in patients with BCS. Methods 32 patients with BCS were treated with interventional therapy under the guidance of color Doppler ultrasound and DSA,and the clinical effects were analysed. Re-sults The success rate was 90. 6% （29/32）,and 11 inferior vena cava stents were implanted. There was no serious complications such as pulmonary embolism,no intraoperative deaths. Postoperative complication rate was 12. 5% （4/32）,including 1 case of acute renal failure who died with treatment failure,2 cases of acute heart failure,who recovered after the anti-heart failure treatment,and 1 case of bloody ascites be-cause of hepatic vein rupture who recovered after hemostasis and anti-infective therapy. The recurrence rate was 9. 7%（3/31）during the fol-low-up. Conclusion Intervention therapy can obtain a more desired therapeutic effect with smaller trauma,faster recovery in patients with BCS,and it is becoming the preferred treatment method gradually.

关 键 词：介入治疗 布加综合征 疗效 

分 类 号：R657.3[医药卫生—外科学]