CAJ | 학술논문

目的：运用彩色多普勒超声对不同类型的布-加氏综合征（Budd～Chiari syndrome，BCS）患者介入治疗后血流动力学变化进行分析，并对介入治疗后血管通畅率等介入治疗效果进行研究。方法：对我院经DSA证实的30例布-加氏综合症患者进行介入治疗，术前1周及术后1个月、3个月分别行彩色多普勒超声检查，测量狭窄段肝静脉内径、狭窄远端肝静脉内径、下腔静脉狭窄段内径及狭窄段血流速度，记录超声测量参数及术后血管通畅情况。结果：30例患者，共43支狭窄血管，介入术后3个月临床治愈21例，好转7例，未愈2例，总体有效率达到93．3％。37支血管获得通畅，血管通畅率达86％。结论：彩色多普勒超声在不同类型的布-加氏综合征患者介入治疗前后对于狭窄段肝静脉、下腔静脉血流动力学的检测有重要作用。
목적：운용채색다보륵초성대불동류형적포-가씨종합정（Budd～Chiari syndrome，BCS）환자개입치료후혈류동역학변화진행분석，병대개입치료후혈관통창솔등개입치료효과진행연구。방법：대아원경DSA증실적30례포-가씨종합증환자진행개입치료，술전1주급술후1개월、3개월분별행채색다보륵초성검사，측량협착단간정맥내경、협착원단간정맥내경、하강정맥협착단내경급협착단혈류속도，기록초성측량삼수급술후혈관통창정황。결과：30례환자，공43지협착혈관，개입술후3개월림상치유21례，호전7례，미유2례，총체유효솔체도93．3％。37지혈관획득통창，혈관통창솔체86％。결론：채색다보륵초성재불동류형적포-가씨종합정환자개입치료전후대우협착단간정맥、하강정맥혈류동역학적검측유중요작용。
Objective:Application of color Doppler ultrasound on different types of Budd Chiari syndrome ( Budd-Chiari syndrome , BCS) of hemodynamic changes were analyzed after interventional therapy , and research on the effect of vascular patency rate after the treatment and other index .Methods:In our hospital , interventional therapy of 30 cases of Budd -Chiari syndrome patients confirmed by DSA.1 week before operation and 1 months、3 months after operation were examined by color Doppler ultrasound measurement of hepatic vein diameter of narrow segment , distal to the stenosis of hepatic vein diameter , inferior vena cava stenosis diameter and the blood flow ve-locity, record the ultrasonographic measurement parameter and the vascular potency rate after the operation .Results:The 30 patients, the total of 43 stenosis, 21 cases of clinical cure 3 months after PCI, 7 cases improved, 2 cases ineffective, the total effective rate reached 93. 3%.37 vessel was smooth , the patency rate was 86%.Conclusion:The color Doppler ultrasound is important in different types of Budd -Chiari syndrome patients of the detection of stenosis of hepatic vein , inferior vena cava blood flow dynamics after interventional therapy .