| 经皮球囊导管成形支架植入术治疗布加综合征的临床观察 |
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| 引用本文： | 陈智年,闫东红,徐兵,李风臣,韩玲,陈学明.经皮球囊导管成形支架植入术治疗布加综合征的临床观察[J].中国医药指南,2008,6(19):13-14,10. |
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| 作者姓名： | 陈智年 闫东红 徐兵 李风臣 韩玲 陈学明 |
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| 作者单位： | 1. 河南省新乡市中心医院普外科,453000
2. 首都医科大学北京友谊医院血管外科,100050 |
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| 摘 要： | 目的探讨运用经皮下腔静脉球囊成形、支架植入术治疗布加综合征的临床疗效。方法本组病例136例,其中男64例,女72例,其中肝静脉阻塞4例,余均为下腔静脉阻塞或狭窄,均经彩色多普勒超声、下腔静脉及肝静脉造影等检查证实,并进行经皮下腔静脉球囊成形(PTA)、支架植入术(EMS)治疗。所有患者随访1至120个月。结果扩张前静脉狭窄段内径0～6mm(平均3mm),肝静脉内径0～2mm;扩张并放血管支架后,腔静脉、肝静脉内径分别为18～20mm和7～8mm,扩张前下腔静脉至右心房压力差为18～35cmH2O(1.7～3.43kPa),平均20.3CmH2O(1.99kPa),扩张后压力差消失,134例手术顺利,2例失败。术后118例主要症状及体征消失或基本消失,22例明显改善,4例肝静脉阻塞病人,2例主要症状及体征明显改善,2例未见明显。125例患者在随访期间血管内支架形态良好,支架内血流通畅。4例肝静脉阻塞在术后半月、2、5、6个月发生再阻塞转为手术治疗,5例下腔静脉阻塞可狭窄术后于6、17、36、96、98个月发生再阻塞转为手术治疗。结论经皮下腔静脉球囊成形、支架植入术是非长段阻塞型布加综合征良好治疗方法,但经皮下腔静脉球囊成形、支架植入术治疗肝静脉疗效差。
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| 关 键 词： | 布加综合征 经皮下腔静脉球囊成形术 血管内支架置入 |
Treatment of Budd-Chiari Syndrome with Percutaneours Transluminal Angiography and Expandable Metallic Stent |
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| CHEN Zhi-nian,YAN Dong-hong,XU Bing,LI Feng-chen,HAN Ling,CHEN Xue-ming.Treatment of Budd-Chiari Syndrome with Percutaneours Transluminal Angiography and Expandable Metallic Stent[J].Guide of China Medicine,2008,6(19):13-14,10. |
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| Authors: | CHEN Zhi-nian YAN Dong-hong XU Bing LI Feng-chen HAN Ling CHEN Xue-ming |
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| Institution: | 1.Department of General Surgery; Xinxiang Central Hospital; Henan Provance; 453000; china; 2.Department of Vascular Surgery; Beijing Friendship Hospital; the Capital University of Medical Science; Beijing 100050; China); |
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| Abstract: | Objective To observe the therapeutic effect of percutaneous transluminial angiography(PTA) and expandable metallic stent (MES) on the Budd-Chiari syndrome(BCS). Methods One hundred and twenty patients with BCS confirmed by color Doppler ultrasonography,the phledography of inferior vena cava and hepatic veins,and under went PTAand EMS.The follow-up time was 6～120months, Results All the patients had remarkable effect.Five cases had recurrency durign follow-up.Conclusion PTA and EMS is and excellent method to ... |
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| Keywords: | Budd-Chiari Syndrome Percutaneous Transluminial angiography Stent |
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