目的探讨布加综合征血管内介入治疗的价值。方法12例布加综合征患者,病理类型:下腔静脉完全阻塞9例,下腔静脉狭窄3例;治疗均行下腔静脉球囊扩张成形术+支架置入术。结果12例均成功施行此术式,治疗前下腔静脉压力平均(4.56±1.51)kPa(1mmHg=0.133kPa),支架置入后下腔静脉压力下降至平均(2.51±0.77)kPa,临床症状明显缓解。但1例在下腔静脉支架置入术后8个月并发肝静脉闭塞,行肠房分流术后症状缓解。结论选择合适病例,血管内介入治疗布加综合征是安全可行的。
Objective TO evaluate the interventional therapy in Budd-Chiari syndrome(BCS). Methods 12 cases with BCS were treated with balloon dilatation angioplasty and placement of stent. The pathologic types were composed of complete occlusion of inferior vena cava(IVC) (9 cases) and IVC stenosis (3 cases). Results Success was achieved in 12 eases. IVC cavepressure was (4.56 ± 1.51 ) kPa before interventional therapy, and ( 2.51 ± 0.77) kPa after stent implantation. The symptoms disappeared or markedly improved postoperatively. Complications of hepatic venous occlusion occurred in 1 case after IVC stent 8 months later, and the symptoms relieved after meso- RA shunt. Conclusion The interventional therapy for BCS is very effective and safe to appropriate patient.