经皮Gianturco支架置入治疗Budd－Chiari综合征（附23例报告）

Application of Gianturco Expandable Stent in the Treatment of Budd-Chiari Syndrolne (A Report of 23 Cases)

作者在１４个月的时间内，共对２３例各型Ｂｕｄｄ－Ｃｈｉａｒｉ综合征的病人实施球囊扩张及血管内支架置入术治疗，技术成功率为１００％。未发生任何并发症。治疗后下腔静脉直径平均达２１ｍｍ，下腔静脉压力由３．１６ｋｐａ降至１．１６ｋｐａ。经最长１３个月，最短１个月（平均８个月）的临床化验、彩超及血管造影随访，显示下腔静脉扩张良好，血流通畅，未见内膜增生、血栓及内支架移位等迹象。作者着重探讨了不同类型病变应采用不同的治疗方法，尤其是坚硬膜性及节段性闭塞型的穿刺方法、处理要点及其伴有附壁血栓、肝静脉狭窄及病变部位接近右心房的处理方法。

Twenty-three patients with Budd-Chiari syndrome (B-CS) were treated with bal-loon angioplasty and placement of Gianturco expandable metallic stent in inferior vena cava (IVC).Technical success rate was 100% . There were no complications.The average pressure of IVC de-creased from 3.16kpa to 1.16kpa. The average diameter of IVC increased to 21mm. All cases were followed up for 1～13 months (average 8 months) .The repeated venogram showed excellent patency of IVC without intimal hyperplasia, thrombosis or stent migration in all patients. The authors em-phasize that different types of the disease should be managed by different methods especially those pa-tients with hard membrane,segmental complete obstruction, mural thrombus and stenosis of hepatic.veins.