上腔静脉阻塞综合征血管腔内治疗的临床应用

目的探讨血管腔内治疗上腔静脉阻塞综合征的方法及临床价值。方法选择28例上腔静脉阻塞综合征患者为研究对象,其中,支气管肺癌22例,恶性淋巴瘤4例,尿毒症行右前臂动静脉内漏透析2例。经右侧股静脉穿刺插管,采用球囊扩张、支架置入治疗。结果 28例患者中26例成功置入28枚支架,其中1例置入3枚支架,复查造影显示上腔静脉血流恢复,术后患者上腔静脉阻塞症状明显改善。1例患者上腔静脉阻塞严重,未能通过导丝,另1例患者术中导丝穿通血管,未置入支架。结论血管腔内治疗上腔静脉阻塞综合征是安全、有效的治疗手段,能迅速恢复上腔静脉血流,改善患者生存质量。

Objective To explore the Endovascular treatment of Superior Vena Cava Syndrome methods and and its clinical value. Methods 28 cases of patients with superior vena cava syndrome, in which 22 cases of bronchial lung cancer, 4 cases of malignant lymphoma, Uremic patients with right forearm arteriovenous internal leakage of dialysis in the treatment of 2 casesoThrough the right femoral vein catheterization, using balloon dilation, stent implantation in the treatment of. Results In 28 patients, 26 patients with successful implantation of 28 stents implantation, including 1 cases of 3 stents, after repeated angiography showed superior vena cava flow recovery, Postoperative patients symptoms improved significantly. In 1 cases of patients with superior vena cava obstruction is severe, not through the guide wire.The other 1 patients with penetrating vascular, without stent implantation. Conclusion Endovascular treatment of superior vena cava syndrome is a safe, effective treatment, can be quickly restored to superior vena cava flow, improve the life quality of the patients.