Budd-Chiari综合征11例介入治疗前后临床及胃镜特点分析

Analysis of Clinical Manifestation and Endoscopic Feature of Budd-Chiari Syndrome before and after the Interventional Therapy

目的分析总结11例布-加综合征(Budd-ChiariSyndrome,BCS)导管介入治疗前后的临床及胃镜特点。方法11例BCS患者行静脉球囊扩张术及静脉支架植入术,观察介入治疗前后的临床症状、体征的变化,以及胃镜随诊表现。结果11例BCS患者均有不同程度的误诊、误治现象。明确诊断后都接受了导管介入治疗;治疗后所有患者临床症状、体征及胃镜下表现均明显改善。结论BCS易被误诊。肝硬化合并食管-胃底静脉曲张破裂出血的患者,应该注意排除BCS;导管介入治疗可有效改善BCS患者临床症状、体征及食管-胃底静脉曲张。

Objective: To analyze the clinical manifestation and endoscopic feature of the Budd-Chiari syndrome before and after the interventional therapy. Method: Clinical manifestation and serial endoscopic feature of 11 patients diagnosed as Budd-Chiari syndrome were analyzed in this observation.Interventional therapy methods include balloon dilation and stand implantation. Results: All patients were encountered different degree misdiagnosis and mistreatment,but they all received interventional therapy after defini...