Budd-Chiari综合征的介入治疗(附69例分析)

INTERVENTIONAL THERAPY OF BUDD CHIARI SYNDROME WITH A REPORT OF 69 CASES

目的 :探讨不同类型Budd Chiari综合征 (BCS)的介入治疗方法 ,评价经皮穿刺血管腔内成形术 (PTA)和血管内支架 (EMS)治疗BCS的价值。方法 :BCS 6 9例采用经股静脉或颈静脉行下腔静脉 (IVC)穿通破膜 ,下腔静脉和 (或 )肝静脉PTA和 (或 )EMS ,经皮经肝和经颈静脉行肝静脉成形术。结果 :介入治疗BCS成功率 95.6 % ,治疗后患者肝脏变软 ,腹水吸收 ,IVC压力由术前 (3.4 7± 0 .6 )kPa降至术后 (1.6 ±0 .56 )kPa。结论 :PTA和EMS治疗BCS安全有效 。

Objective: To study the interventional therapy of all types of Budd Chiari Syndrome (BCS) and to evaluate the value of percutaneous transluminal angioplasty (PTA) and endovascular metal stent(EMS). Methods:69 cases with BCS were treated by recanalization of IVC via femoral vein or jugular vein, PTA and/or EMS, Percutaneous transhepatic and transjugular HVPTA. Results:The successful rate was 95.6%. Hepatomegaly became softened and ascites was absorbed. The pressure of IVC dropped from 3.47[FK(W+3mm。3mm]±0.6kPa before operation to 1.6[FK(W+3mm。3mm]±0.56kPa after operation. Conclusion:PTA and EMS are safe and effective methods for treating of BCS. In certain cases it is a substitution for surgical therapy.