布-加综合征腔内成型术治疗体会

The treatment experience of intravascular figuration of Budd-Chiari Syndrome

目的 :评价单球囊导管扩张 +内支架置放腔内成型治疗膜性及局限性布 加综合征 ,以探讨此术式的优缺点及适应证。方法 :采用下腔静脉单球囊导管扩张及内支架置放的手术方法对 8例膜性及局限性布 加综合征进行治疗。随访时间 10个月～ 2a。结果 :8例患者均一次性穿刺、扩张成功。阻塞段被扩张至 12mm～ 2 0mm ,行内支架置放腔内成型术后 ,阻塞下方下腔静脉压力从平均 (32± 4 .7)cmH2 O下降至 (19± 3.4 )cmH2 O。随访期内全部患者无复发。结论 :经腔内成型术对于短段闭塞型及重度下腔静脉狭窄型有良好疗效。

Objective:The evaluate the treatment effect of Budd-Chiari Syndrome used the si ngle balloon catheter dilatation and the implantation of intravascular stent,to discuss its advantage,disadvantage and indications.Methods:Eight patients suffer ed membranous type and localized Budd-Chiari Syndrome were treated with single ballon catheter dilatation and the implantation of intravascular stent.The follo w-up time was 10 months to 2 years.Results:Eight patients were operated success fully.The partial obstruction were dilated from 12 to 20 mm,then implant the int ravascular stent.After these operation,the pressure distal inferior vena cave de scend from(32±4.7) cmH 2O to(19±3.4) cmH 2O.All the patients didn′t recurre d in the follow-up period.Conclusion:Intravascular figuration has good clinical effect to membranous type and localized stenosis Budd-Chiari Syndrome.