经皮血管腔内支架植入术治疗布-加综合征的应用研究

目的　探讨经皮血管内支架植入术对布 加综合征治疗的应用价值。方法　对具备完整诊断资料的 42例布加综合征患者 ,根据不同表现 ,分别采用单纯球囊扩张后植入支架 ,或穿刺破膜后球囊扩张满意后再植入支架治疗。结果　42例植入支架成功 40例 ,共植入腔静脉支架 44枚、肝静脉支架 4枚。植入支架后造影证实原下腔静脉狭窄或梗阻征象消失 ,造影剂回流通畅。 2例因操作不当而失败。结论　经皮血管内支架植入术是治疗布 加综合征的一种有效的微创治疗手段 ,有较高的应用价值

Application of Percutaneous Intravascular Stent Implantation in the Treatment of Budd-Chiari Syndrome

Objective To study the applied value of percutaneous intravascular stent implantation in the treatment of Budd Chirai syndome. Methods Forty two cases with Budd Chirai syndome,possessing complete diagnostic data,according to different manifestations,were respectively given simple saccule dilation and then implanted stenting,or the membranes were punctured and broken to dilate the saccule satisfactorily and then the implanting performed. Results Forty cases were successful in implanting stents among 42 cases.Forty four vencaval stents and 4 hepatic venous stents were implanted in all.After implantation of stents,visualization revealed the primary postcaval stricture or obstructive signs vanished,contrast medium flew back smoothly.Two cases failed because of the malpractice. Conclusion Percutaneous intravascular stent implantation is one of effective therapeutic measures in the treatment of Budd Chirai syndrome.