CAJ | 학술논문

目的探讨用介入学方法治疗布加氏综合征.方法先行经皮下腔静脉造影术,明确病变类型.对单纯狭窄型者采用球囊导管扩张术,然后置入血管内支架;对完全膜型或节段闭塞型者,先行穿刺破膜或开通,继而行球囊导管扩张术,节段型者同时置入血管内支架;对伴血栓形成者先行溶栓治疗.结果本组10例拟诊者,均行下腔静脉造影术,确诊布加氏综合征8例;共行下腔静脉球囊扩张成形术8例,下腔静脉穿刺破膜3例,穿刺开通2例,下腔静脉支架置人术7例,置入9枚支架.未出现下腔静脉破裂、腹腔内出血及肺栓塞等.结论经皮经腔血管成形术微创、安全、有效,应予推广.
목적 탐토용개입학방법치료포가씨종합정.방법 선행경피하강정맥조영술,명학병변류형.대단순협착형자채용구낭도관확장술,연후치입혈관내지가;대완전막형혹절단폐새형자,선행천자파막혹개통,계이행구낭도관확장술,절단형자동시치입혈관내지가;대반혈전형성자선행용전치료.결과 본조10례의진자,균행하강정맥조영술,학진포가씨종합정8례;공행하강정맥구낭확장성형술8례,하강정맥천자파막3례,천자개통2례,하강정맥지가치인술7례,치입9매지가.미출현하강정맥파렬、복강내출혈급폐전새등.결론 경피경강혈관성형술미창、안전、유효,응여추엄.
Objective To investigate treatment of Budd-Chiari syndrome with interventional method.Methods Types of Budd-Chiari syndrome(BCS) were decided by inferior vena cava(IVC) angiography firstly.Simple stenosis type patients were treat with percutanous balloon dilatation of IVC,and then with stent placement.Complete membrane and segment block types patients were with reputure of membrane or recanalizing of IVC,and then with percutanous balloon dilatation of IVC,and segment block type with stent placement as well.Patients accompanied with thrombosis were treated with thrombolysis.Results All 10 patients of the group were examined with IVC angiography,8 patients were confirmed to be BCS.Totally 8 cases of percutanous balloon dilatation of IVC,3 cases of reputure of membrane of IVC,2 cases of recanalizing of IVC,and 7 cases of stent placement of IVC were finished,and 9 stents were placed in IVC.There were no IVC rupture,abdominal hemorrhage,pericardial tamponade,pulmonary emblosim,and so on.Conclusion Percutaneous transluminal angioplasty is micro-invasive,safty and effective,and deserved to be popularized.