经皮经腔血管成形术治疗布加氏综合征

Treatment of budd-chiari syndrome with percutaneous transluminal angioplasty

目的探讨用介入学方法治疗布加氏综合征。方法先行经皮下腔静脉造影术，明确病变类型。对单纯狭窄型者采用球囊导管扩张术，然后置入血管内支架；对完全膜型或节段闭塞型者，先行穿刺破膜或开通，继而行球囊导管扩张术，节段型者同时置人血管内支架；对伴血栓形成者先行溶栓治疗。结果本组10例拟诊者，均行下腔静脉造影术，确诊布加氏综合征8例；共行下腔静脉球囊扩张成形术8例，下腔静脉穿刺破膜3例，穿刺开通2例，下腔静脉支架置人术7例，置入9枚支架。未出现下腔静脉破裂、腹腔内出血及肺栓塞等。结论经皮经腔血管成形术微创、安全、有效，应予推广。

Objective To investigate treatment of Budd-Chiari syndrome with interventional method. Methods Types of Budd-Chiari syndrome（BCS） were decided by inferior vena cava（IVC） angiography firstly. Simple stenosis type patients were treat with percutanous balloon dilatation of IVC, and then with stcnt place- ment. Complete membrane and segment block types patients were with reputure of membrane or recanalizing of IVC, and then with percutanous balloon dilatation of IVC, and segment block type with stent placement as well. Patients accompanied with thrombosis were treated with thrombolysis. Results All 10 patients of the group were examined with IVC angiography,8 patients were confirmed to be BCS. Totally 8 cases of percutanous balloon dilatation of IVC,3 cases of reputure of membrane of IVC,2 cases of recanalizing of IVC, and 7 cases of stent placement of IVC were finished,and 9 stcnts were placed in IVC. There were no IVC rupture, abdominal hemorrhage, pericardia1 tamponade, pulmonary emblosim, and so on. Conclusion Percutaneous transluminal angioplasty is micro-invasive, salty and effective, and deserved to be popularized.