Budd-Chiari综合征介入治疗192例分析

Analysis of 192 cases of Budd-Chiari syndrome with interventional treatment

目的：探讨不同类型Budd—Chiari综合征（BCS）介入治疗的路径和方法。方法：选取BCS患者192例，先行下腔静脉造影，根据造影结果，采取不同路径行下腔静脉和（或）肝静脉球囊扩张成形术，术前术后测量静脉压，效果欠佳者。及时置入血管内支架，随访6～12个月。结果：成功治疗188例，治愈率为97．9％。下腔静脉压及肝静脉压由术前的（29．20±1．05）kPa和（3．25±1．07）kPa降至（16．10±0．54）kPa和（1．53±0．52）kPa，腹胀、腹水、下肢肿胀等临床症状1周内明显改善，胸腹壁浅静脉消退。无1例严重并发症发生。1年内血管通畅率为100．0％。结论：BCS介入治疗，应根据造影的具体情况，灵活采取介入路径和方法，才能达到良好的治疗效果，减少并发症的发生。

Objective： To investigate the path and method of different types of BCS intervention. Methods： 192 cases of BCS were given interventional treatment. First imagining IVC angiography. According to angiography, adopt different path of angioplasty to the inferior vena cava or hepatic vein balloon. Before and after operation, measured the Venous pressure, if those with a poor effect, stent implantation in a timely manner. All patients were given six months to one year follow-up. Results： 188 cases got successful treatment, cure rate was 97.9%. IVC pressure ＆ hepatic venous pressure dropped from （29.20±1.05） kPa and （3.25±1.07） kPa to （16.10±0.54） kPa and （1.53±0.52） kPa. Clinical symptoms such as abdominal distension, aseites, leg swelling and other symptoms improved within a week. Abdominal wall superficial vein dissipated. None of the serious complications. Year patency rate was 100.0%. Conclusion： BCS intervention should be based on the specific circumstances of imaging, take different methods and approaches flexibly to intervention, to achieve good therapeutic effect and to reduce the incidence of complications.