摘要
为探讨微创腔内疗法在不同类型Budd Chiari综合征 (BCS)治疗中的价值 ,根据造影结果将BCS分成 3型 ,Ⅰ、Ⅱ型又各分成 3个亚型 ;5 6例Ⅰ、Ⅱ型患者接受了腔内疗法 ,其中Ⅰa、Ⅰb、Ⅱa、Ⅱb型采用PTA加下腔静脉支架置入术 ,Ⅰc、Ⅱc型附加脾肺固定术。结果支架成功置入 5 4例 ,操作成功率 96 .7% ;失败 2例 ,其中肺栓塞死亡 1例 ,心包填塞 1例。说明恰当的分型可指导BCS治疗方法的选择 ;腔内介入技术具有微创、简捷、创伤小的特点 ,适用于多数类型的BCS ,是一种安全有效的方法 。
To evaluate the mini traumatic endovascular therapy for Budd Chiary syndrome (BCS). BCS was divided into three types on the basis of angiography. Among them, types Ⅰ and Ⅱ can be sequentially clarified into six sub types. 56 cases accepted endovascular therapy. Types Ⅰa, Ⅰb, Ⅱa, and Ⅱb accepted PTA and stenting. Types Ⅰc and Ⅱc accepted PTA plus stenting and spleen pulmonary shunting. Stents were successfully deployed in 54 cases with a success ratio of 96.7%. 2 failures occurred, among which 1 died of pulmonary emblization and 1 of hydropericardium. It is concluded that appropriate classification of BCS may be very helpful in the selection of proper therapy. The method of endovascular intervention is mini traumatic and simple. It is feasible for most types of BCS, and also a kind of safe and effective therapy, which can replace most open surgeries.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2001年第9期674-675,共2页
Medical Journal of Chinese People's Liberation Army
