中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2011年
7期
657-661
,共5页
梁志会%徐树彬%崔进国%李亮%李佳%刘晶磊%范玉红
樑誌會%徐樹彬%崔進國%李亮%李佳%劉晶磊%範玉紅
량지회%서수빈%최진국%리량%리가%류정뢰%범옥홍
狭窄%阻塞%介入治疗%上腔静脉
狹窄%阻塞%介入治療%上腔靜脈
협착%조새%개입치료%상강정맥
Stenosis%Occlusion%Interventional therapy%Superior vena cava
目的 探讨上腔静脉及其主要属支静脉狭窄或闭塞的介入治疗方法和疗效.方法 搜集2000年10月至2010年10月期间因上腔静脉及其主要属支狭窄或闭塞接受介入治疗的患者60例,男38例、女22例,年龄15～72岁,平均(58±4)岁.17例患者给予单纯球囊扩张,43例给予球囊扩张加支架置入术.治疗前后测量梗阻流入侧血管内压力,结果的比较用配对t检验.结果 60例患者血管成形后,梗阻流入侧测得静脉压力在狭窄开通前为(24.8±2.3)mm Hg(1 mm Hg=0.133 kPa),开通后为(7.1±1.5)mm Hg,差异有统计学意义(t=3.232,P＜0.01);临床症状完全缓解27例,部分缓解28例,无效5例;无严重并发症发生.随访6个月,出现再狭窄10例,经再次介入后再通6例,4例转外科手术.结论 对上腔静脉及其属支静脉狭窄或闭塞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.
目的 探討上腔靜脈及其主要屬支靜脈狹窄或閉塞的介入治療方法和療效.方法 搜集2000年10月至2010年10月期間因上腔靜脈及其主要屬支狹窄或閉塞接受介入治療的患者60例,男38例、女22例,年齡15～72歲,平均(58±4)歲.17例患者給予單純毬囊擴張,43例給予毬囊擴張加支架置入術.治療前後測量梗阻流入側血管內壓力,結果的比較用配對t檢驗.結果 60例患者血管成形後,梗阻流入側測得靜脈壓力在狹窄開通前為(24.8±2.3)mm Hg(1 mm Hg=0.133 kPa),開通後為(7.1±1.5)mm Hg,差異有統計學意義(t=3.232,P＜0.01);臨床癥狀完全緩解27例,部分緩解28例,無效5例;無嚴重併髮癥髮生.隨訪6箇月,齣現再狹窄10例,經再次介入後再通6例,4例轉外科手術.結論 對上腔靜脈及其屬支靜脈狹窄或閉塞行介入治療可以迅速解除梗阻,恢複血流通暢,降低梗阻遠耑靜脈的壓力,緩解臨床癥狀.
목적 탐토상강정맥급기주요속지정맥협착혹폐새적개입치료방법화료효.방법 수집2000년10월지2010년10월기간인상강정맥급기주요속지협착혹폐새접수개입치료적환자60례,남38례、녀22례,년령15～72세,평균(58±4)세.17례환자급여단순구낭확장,43례급여구낭확장가지가치입술.치료전후측량경조류입측혈관내압력,결과적비교용배대t검험.결과 60례환자혈관성형후,경조류입측측득정맥압력재협착개통전위(24.8±2.3)mm Hg(1 mm Hg=0.133 kPa),개통후위(7.1±1.5)mm Hg,차이유통계학의의(t=3.232,P＜0.01);림상증상완전완해27례,부분완해28례,무효5례;무엄중병발증발생.수방6개월,출현재협착10례,경재차개입후재통6례,4례전외과수술.결론 대상강정맥급기속지정맥협착혹폐새행개입치료가이신속해제경조,회복혈류통창,강저경조원단정맥적압력,완해림상증상.
Objective To assess the different methods and their outcomes of interventional therapy for stenosis or occlusion in superior vena cava and its branches. Methods Sixty patients with stenosis or occlusion of SVC and its branches were retrospectively analyzed after interventional therapy. Among them, 38 were males and 22 were females, with age range from 15 to 72 years old(mean age 58). Seventeen patients were treated by thrombolysis, and the rest 43 patients accepted percutaneous angioplasty and stenting. Before and after that, the pressures within the vein were measured at the inflow side. The paired-t test was used for statistical analysis. Results After treatment, the pressure at the inflow side dropped from (24.8±2.3)mm Hg to (7.1±1.5)mm Hg(1 mm Hg=0.133 kPa), with a significant difference(t=3.232,P＜0.01). The clinical outcomes included complete relief in 27 patients, partial relief in 28 patients and non-relief in 5 patients. No major complications occurred. During 6 months follow up, restenosis occurred in 10 patients, among whom 6 received repeat intervention with good results. The other 4 patients turned to surgery .Conclusion Interventional therapy for stenosis or occlusion in SVC and its branches could recanalize the vessels, restore the blood flow and relief the clinical symptoms.
