经皮经腔内支架成形术治疗上腔静脉综合征  

Superior vena cava syndrome:treatment with percutaneous endovascalar stent insertion

作　　者：杜景生[1] 郭德安[1] 祁吉[2] 陈光[2] 陈凯[2] 王辉[2] 

机构地区：[1]天津市中医学院第一附属医院放射科 [2]天津市第一中心医院放射科

出　　处：《中华放射学杂志》2001年第1期31-33,共3页Chinese Journal of Radiology

摘　　要：目的　总结经皮经腔介入内支架成形术治疗上腔静脉综合征的经验 ,并评价其疗效。方法　使用西门子 12 0 0mAC形臂机 ,采用“Z”形不锈钢裸支架 ,对 15例上腔静脉综合征患者行经皮经腔介入治疗。释放支架使用RUPS 10 0 14F鞘及 90cm长鞘。 15例中男 12例 ,女 3例 ,年龄 5 4～ 72岁 ,平均 6 3岁。 12例为中心型肺癌 ,2例为转移瘤 ,1例为恶性胸腺瘤。 13例经右颈静脉入路 ,2例经右股静脉入路。并对其中 13例行支气管动脉灌注化疗。结果　 15例患者中 14例置入支架 15枚 ,1例失败 ,2例并发血栓形成。无死亡及其他严重并发症。 11例术后 2 4h内症状缓解 ,1周内症状基本消失。结论　内支架治疗上腔静脉综合征安全有效 。Objective To evaluate the use of percutaneous endovascular stent insertion in the management of superior vena cava syndrome. Methods Fifteen patients with superior vena cava syndrome were treated with “Z”shape steel stents, male 12, female 3, age 54-72 years, average 63 years. In this group, 12 cases were central bronchogenic carcinoma, 2 cases were metastatic tumour, and 1 case was malignant thymoma. Chemotherapy was performed in 13 cases by bronchial artery infusion. Results In 15 cases, interventional procedures were successful in 14 and failed in 1 case. Thrombosis was found in 2 cases after operation. Technical successful rate was 93%. No severe complication were found. Conclusion Balloon angioplasty with stents placement was successful in the treatment of superior vena cava syndrome.

关 键 词：上腔静脉综合征 介入性放射学 经皮经腔内支架成形术 治疗 

分 类 号：R654.3[医药卫生—外科学]