摘要
目的:探讨经皮肝穿刺肝静脉造影(PTHV)在肝静脉型Budd-Chiari综合征(HVBCS)介入治疗中的临床应用。材料与方法:对10例HVBCS实施PTHV,并采用经皮肝静脉-颈静脉轨迹(轨迹法)或Rups-100肝穿装置行肝静脉开通术(PTA和EMS置入)。结果:10例HVBCS患者皆行PTHV,B超导向4例,X线监视6例。介入开通成功9例,失败1例,其中轨迹法开通肝静脉3例,Rups-100装置开通6例。临床效果满意,无严重并发症发生。结论:PTHV能显示BCS患者肝静脉开口,明显提高肝静脉开通的成功率。PTHV和开通术结合安全可靠。
Objective: To study the application of percutaneous transhepatic hepatovenography (PTHV) in the interventional treatment of BuddChiari syndrome with hepatic vein occlusion (HVBCS).Materials and Methods:PTHV was performed in 10 cases with HVBCS. Using track between percutaneous transhepatic hepatic vein and transjugular (track method) or Rups100 device (which used TIPSS) recanalized hepatic vein (PTA and EMS placement) on basis of PTHV.Results:The procedure of PTHV was all successful. US guided in 4 cases, Xray guided in 6 cases. 9 patients were successfully performed recanalization of occlusion with hepatic vien. One case was failure. 3 of them were treated by track method, the others were treated using Rups100 device. Symptoms of abdominal distention and liver enlargement disapeared after operation. No serious complications. Conclusion: PTHV can demonstrate the opening of hepatic vein, the situation of hepatic vein blood flow and also increase recanalization rate in the interventional treatment of HVBCS. Therefore, it should be a safe and effective method in the treatment of HVBCS when combined with PTHV PTA and EMS placement.
出处
《临床放射学杂志》
CSCD
北大核心
1998年第4期238-240,共3页
Journal of Clinical Radiology