CAJ | 학술논문

目的探讨Budd-Chiari综合征的介入诊断与治疗的各种手术方式及其特点。方法回顾2004年8月～2011年6月52例Budd-Chiari综合征患者，其中肝静脉阻塞型17例，下腔静脉阻塞型24例，混合型11例。所有病例均采用Seldinger技术右股静脉入路行下腔静脉造影，必要时经皮肝穿肝静脉入路、颈静脉入路造影或成形术。破膜针选用泥鳅导丝或球囊保护钢针。结果52例各型Budd-Chiari综合征患者手术成功50例。随访30例手术成功患者6～18个月，有4例复发，其中有2例为未能坚持双抗治疗。结论90%以上的Budd-Chiari综合征介入治疗成功，一定程度上取代了外科治疗。熟练掌握介入治疗的各种手术方式及其特点，可以优化手术方案，提高手术安全性，保证手术质量。
목적탐토Budd-Chiari종합정적개입진단여치료적각충수술방식급기특점。방법회고2004년8월～2011년6월52례Budd-Chiari종합정환자，기중간정맥조새형17례，하강정맥조새형24례，혼합형11례。소유병례균채용Seldinger기술우고정맥입로행하강정맥조영，필요시경피간천간정맥입로、경정맥입로조영혹성형술。파막침선용니추도사혹구낭보호강침。결과52례각형Budd-Chiari종합정환자수술성공50례。수방30례수술성공환자6～18개월，유4례복발，기중유2례위미능견지쌍항치료。결론90%이상적Budd-Chiari종합정개입치료성공，일정정도상취대료외과치료。숙련장악개입치료적각충수술방식급기특점，가이우화수술방안，제고수술안전성，보증수술질량。
Objective To evaluate various interventional approaches of diagnosis and treatment of Budd-Chiari syndrome. Methods 52 patients underwent interventional treatment for BCS from 8/2004 to 6/2011 including occlusion of hepatic veins(17), IVC(24),or both hepatic veins and IVC(11).Inferior vena cavography was performed by puncturing the right femoral vein using Seldinger’s technique on all patients.When necessary,angioplasty was performed using the percutaneous hepatic vein or jugular vein approaches.Results Of 52 patients,50 were successfully treated. Symptoms recurred in 4 patients during the 6-18 month follow-up,of whom 2 did not comply with antiplatelet therapy.Conclusions More than 90%of patients with BCS can be successfully treated by various interventional methods.