布-加综合征的影像诊断及综合介入治疗

目的回顾性分析31例门诊疑诊为布加综合征患者的诊疗过程,探讨布加综合征的影像学诊断方法及影响介入疗效的因素。方法31例门诊疑诊为布加综合征的患者行DSA,17例证实为布加综合征,其中16例行介入治疗。结果16例行介入治疗的病人技术上均获成功。治疗采用单纯球囊扩张7例,放置下腔静脉支架4例(5枚),放置肝静脉支架1例,下腔静脉支架结合下腔静脉滤器1例,单纯溶栓1例,行TIPSS术2例。术后30天症状明显改善13例,无变化1例,死亡2例。结论超声可作为布加综合征的筛查手段,最终确诊要依靠DSA。介入术后开通的静脉血管再闭塞是影响布加综合征疗效的主要因素。

Imaging diagnosis and combined interventional therapy of Budd-Chiari syndrome

Objective To explore the imaging diagnosis methods and impacting factors of interventional therapy in Budd-Chiari syndrome, we retrospectively reviewed the diagnosis and therapy course of 31 outpatients who were suspected suffering Budd-Chiari syndrome. Methods Thirty-one outpatients who were diagnosed as Budd-Chiari syndrome underwent DSA. Seventeen cases were verified as Budd-Chiari syndrome and 16 of them underwent interventional therapy. Results Sixteen cases who were underwent interventional therapy were succeed in technology. Seven cases were treated with single balloon dilation, 5 stents were deployed in inferior vena cava in 4 cases, 1 case was deployed hepatic vein stents, 1 case were combined stent and filter in inferior vena cava, 1 case were underwent thrombolysis, 2 cases were underwent TIPSS. Within 30 days, clinical symptoms improved significantly in 13 cases, no change was observed in 1 case, and 2 cases died. Conclusion US is screening method of Budd-Chiari syndrome, the final diagnosis needs DSA angiography. Vena cava restruction was main factor impacting interventional therapy effect.