布-加综合征支架植入术后血栓形成的监测和溶栓治疗

Thrombus monitoring and thrombolytic therapy after stent implantation operation for patients with Budd-Chiari syndrome

目的:探讨布-加综合征支架植入术后彩超监测血栓形成并行导管溶栓治疗的应用价值。方法:回顾性分析2000年1月至2007年1月期间180例布-加综合征患者支架植入术后的病历以及随访资料。结果:180例布-加综合征支架植入术后患者中,有血栓形成者21例(11.67%),其中彩超监测发现20例(95.24%),经及时导管溶栓治疗后效果良好.漏诊1例。结论:布-加综合征支架植入术后应该常规彩超监测以期及时发现血栓并行导管溶栓治疗,提高疗效。

Objective：To explore the applicability of color Doppler ultrasound monitoring of thrombus and thmmbolytic therapy through catheter after stent implantation operation for patients with Budd-Chiari syndrome. Method： Medical records and follow-up data of 180 patients after stent implantation treatment for Budd-Chiari syndrome from Jan 2000 to Jan 2007 were retrospectively analyzed. Result： Of 180 patients after stent implantation,21 were confirmed to have thrombus （ 11.67% ）. Twenty of the 21 patients were monitored by color Doppler ultrasound （95.24%） and showed favorable outcome following treatment with thrombolysis by catheter, while just 1 case was missed. Conclusion： Routine color Doppler ultrasound monitoring should be done after stent implantation operation for Budd-Chiari syndrome to find thrombus in time and increase the survival rate of patients by thrombolysis with catheter.