血管内介入治疗布加氏综合征(附60例分析)

Endovascular therapy for Budd-chiari syndrome (analysis 60 cases)

目的 :探讨布加氏综合征血管内介入治疗的价值。方法 :回顾分析 60例病例 ,在造影明确诊断后行血管内介入治疗。 1 2例行单纯球囊扩张成形术 ,48例行穿通、球囊扩张成形术 +支架置入术。结果 :1 2例行球囊扩张成形术后下腔静脉通畅 ,48例完全阻塞者开通后置入内支架 50枚。全部病例下腔静脉压力减低 ,随访临床症状缓解。结论 :血管内介入治疗布加氏综合征安全有效 。

Objective:To study the value of e ndovascular therapy for Budd-Chaiari syndrome(BCS).Methods:60 cases with BCS were retrospectively analysed.Endovascular therapy were performed after angi ography diagnosis.Among the 60 cases,there were 12 cases only treated with ballo on dilatation angioplasty,48 cases treated with puncture、balloon dilatation an gioplasty and placement of stent.Results:Inferi or vena cave (IVC) keeped opening in 12 cases treated with balloon dil atation angioplasty.50 stents were placed in 48 cases of complete occlusion aft er opening IVC.IVC pressure dropped in all cases.The follow-up revealed the cl inical symptoms relieved.Conclusion:Endov ascular therapy for BCS was very effe ctive and safe, this method should be the best choice for the treatment.