彩色多普勒超声评价布-加氏综合征介入治疗后血流动力学变化

Color Doppler Ultrasound of Budd-Chiari Syndrome Changes of Hemodynamics after Interventional Therapy

目的:运用彩色多普勒超声对不同类型的布-加氏综合征(Budd^Chiari syndrome,BCS)患者介入治疗后血流动力学变化进行分析,并对介入治疗后血管通畅率等介入治疗效果进行研究。方法:对我院经DSA证实的30例布-加氏综合症患者进行介入治疗,术前1周及术后1个月、3个月分别行彩色多普勒超声检查,测量狭窄段肝静脉内径、狭窄远端肝静脉内径、下腔静脉狭窄段内径及狭窄段血流速度,记录超声测量参数及术后血管通畅情况。结果:30例患者,共43支狭窄血管,介入术后3个月临床治愈21例,好转7例,未愈2例,总体有效率达到93.3%。37支血管获得通畅,血管通畅率达86%。结论:彩色多普勒超声在不同类型的布-加氏综合征患者介入治疗前后对于狭窄段肝静脉、下腔静脉血流动力学的检测有重要作用。

Objective： Application of color Doppler ultrasound on different types of Budd Chiari syndrome （ Budd - Chiari syndrome, BCS） of hemodynamie changes were analyzed after interventional therapy, and research on the effect of vascular patency rate after the treatment and other index. Methods：In our hospital, interventional therapy of 30 eases of Budd - Chiari syndrome patients confirmed by DSA. 1 week before operation and 1 months,3 months after operation were examined by color Doppler ultrasound measurement of hepatic vein diameter of narrow segment, distal to the stenosis of hepatic vein diameter, inferior vena eava stenosis diameter and the blood flow ve- locity, record the ultrasonographie measurement parameter and the vascular potency rate after the operation. Results：The 30 patients, the total of 43 stenosis, 21 cases of clinical cure 3 months after PCI, 7 cases improved, 2 cases ineffective, the total effective rate reached 93. 3%. 37 vessel was smooth, the patency rate was 86%. Conclusion：The color Doppler ultrasound is important in different types of Budd - Chiari syndrome patients of the detection of stenosis of hepatic vein, inferior vena cava blood flow dynamics after interventional therapy.