不同类型Budd-chiari综合征的介入治疗

目的通过342例Budd-chiari综合征的治疗经验,探讨不同类型Budd-chiari综合征的治疗方法。方法利用介入放射的方法对342例不同类型Budd-chiari综合征病变进行相应的介入处理。结果 342例患者,除29例肝静脉完全闭塞患者无法行介入治疗外,其余的均行介入治疗,成功292例,成功率85.4%。2例发生急性心包填塞,经外科处理痊愈,2例发生右侧胸腔出血,经保守治疗吸收好转。其中下腔静脉膜性病变142例均介入治疗成功,成功率100%,阶段性病变65例,介入治疗成功55例,成功率84.6%;肝静脉膜性病变55例,介入治疗全部成功,成功率100%,阶段性闭塞29例,介入治疗成功24例,成功率82.8%,肝静脉完全闭塞29例,未能行介入治疗,成功率0%;下腔静脉膜性病变合并肝静脉膜性病变9例,全部介入治疗成功,下腔静脉阶段病变合并肝静脉阶段病变8例,介入治疗成功5例,成功率62.5%。下腔静脉阶段性闭塞合并肝静脉完全闭塞5例,介入治疗下腔静脉开通成功3例,成功率60%。结论介入治疗是Budd-chiari综合征最有效的治疗方法之一,不同类型Budd-chiari综合征病例应采取不同的方法治疗。

Interventional radiology treatment for Budd-chiari syndrome of different type

ObjectiveTo seek the treatment method for Budd-chiari syndrome of different type.Methods342 patients that suffer from Budd-chiari syndrome of different type,were treated by interventional radiology method.ResultIn 342 cases,successful treatment was in 292 cases,85.4%.complication happen in 4 cases,pericardial tamponade happen in 2 cases and hemorrhage happen in thoracic cavity was 2 cases.Treatment was successful in all 142 cases suffer from membranes obstruction of inferior vena cava,100%;Treatment was successful in 55 cases out of 65 cases suffer from section obstruction of inferior vena cava,84.5% Treatment was successful in all 55 cases suffer from membranes obstruction of hepatic veins,Treatment was successful in 24 cases out of 29 cases suffer from section obstruction hepatic veins,complete occlusion of hepatic veins in29 cases cannot treat in interventional radiology;Treatment was successful in all 9 cases suffer from both membranes obstruction of hepatic vein and membranes obstruction of inferior vena cava;Treatment was successful in 5 cases out of 8 cases suffer from both section obstruction hepatic veins and section obstruction of inferior vena cava.ConclusionInterventional treatment is a effective method for Budd-chiari syndrome,different type of Budd-chiari syndrome should treat in different method.