中华消化病与影像杂志(电子版)
中華消化病與影像雜誌(電子版)
중화소화병여영상잡지(전자판)
2011年
1期
14-17
,共4页
肝静脉血栓形成%血管闭塞性疾病%介入放射学%血管成形术%血管内支架%Budd-Chiari 综合征
肝靜脈血栓形成%血管閉塞性疾病%介入放射學%血管成形術%血管內支架%Budd-Chiari 綜閤徵
간정맥혈전형성%혈관폐새성질병%개입방사학%혈관성형술%혈관내지가%Budd-Chiari 종합정
Hepatic vein thrombosis%Vascular occlusive disease%Interventional radiology%Angioplasty%Intravessel stent%Budd -Chiari syndrome
目的 评价血管内介入技术治疗Budd-Chiari综合征的长期效果.方法 应用经股静脉、经颈静脉或经皮经肝途径施行下腔静脉或肝静脉的球囊扩张和(或)内支架置入术,治疗97例BuddChiari综合征患者.结果 96例患者治疗成功,1例失败.彩色多普勒超声或血管造影随访89例患者,随访时间6~20年,平均(14)年;其中2例患者下腔静脉内径小于12 mm,但无临床症状,其余87例患者未见异常,7例失访.结论 应用血管内介入技术治疗Budd-Chiari综合征临床疗效显著,支架可保持长期畅通.
目的 評價血管內介入技術治療Budd-Chiari綜閤徵的長期效果.方法 應用經股靜脈、經頸靜脈或經皮經肝途徑施行下腔靜脈或肝靜脈的毬囊擴張和(或)內支架置入術,治療97例BuddChiari綜閤徵患者.結果 96例患者治療成功,1例失敗.綵色多普勒超聲或血管造影隨訪89例患者,隨訪時間6~20年,平均(14)年;其中2例患者下腔靜脈內徑小于12 mm,但無臨床癥狀,其餘87例患者未見異常,7例失訪.結論 應用血管內介入技術治療Budd-Chiari綜閤徵臨床療效顯著,支架可保持長期暢通.
목적 평개혈관내개입기술치료Budd-Chiari종합정적장기효과.방법 응용경고정맥、경경정맥혹경피경간도경시행하강정맥혹간정맥적구낭확장화(혹)내지가치입술,치료97례BuddChiari종합정환자.결과 96례환자치료성공,1례실패.채색다보륵초성혹혈관조영수방89례환자,수방시간6~20년,평균(14)년;기중2례환자하강정맥내경소우12 mm,단무림상증상,기여87례환자미견이상,7례실방.결론 응용혈관내개입기술치료Budd-Chiari종합정림상료효현저,지가가보지장기창통.
Objective To evaluate the long term effects of intraluminal venoplasty and selfexpendable stens on the treatment of Budd-Chiari syndrome. Methods Ninety-seven cases with BCS were included in this study. Balloon dilatation and/or stent placement in inferior vena cava or hepatic vein were performed via femoral vein, right internal jugular vein or trans- hepatic access. Results Ninety-six cases were treated successfully, one was failure, Eighty-nine cases followed up by ultrasound or venography, the time of follow up ranged from six to twenty years(mean 14 years). Diameter of IVC was less than 12 mm in two patients, but no abnormal clinical sign were found, eighty seven patients were normal. Seven patients were lost. Conclusion The long term effects of intraluminal venoplasty and self-expendable metallic stens on the treatment of Budd-Chiari syndrome were excellent. The patency of stents were kept well.