【摘要】 自１９９１年以来，成功地应用原用于二类瓣狭窄扩张的Ｉｎｏｖｅ球囊导管，对８例下腔静脉阻塞的布—加综合征进行治疗，３例段型阻塞者阻塞段分别为２８、３０和４０ｍｍ。为了测定准确的病变部位和范围，我们采用了多普勒血管超声、Ｂ超和血管造影等，并采用Ｓｅｌｄｉｎｇｅｒ技术，对阻塞的腔静脉在双向电视荧屏监视下进行破膜和球囊扩张，逐渐将阻塞的腔静脉扩张至２０ｍｍ左右。在成功的７例２～１９个月的随访中，６例情况良好，跨膜压由术前平均１．３７ｋＰａ（１０．３ｍｍＨｇ）降至０．１５ｋＰａ（１．１ｍｍＨｇ），阻塞段下腔静脉分别被扩至１０～１８ｍｍ，并保持通畅，肝功能逐渐改善。本法应用安全、创伤小可以重复使用，尤其适用于膜型阻塞的病例，值得推广。更多还原

【Abstract】 From Feb l991 to Sept l992 eight patiente of hepatic inferior vena cava obstruction(fivemembranous and three segmental types)associated with Budd-Chiari syndrome weresuccessfully treated with Inove balloon catheter which was designed originally for dilatationof mitral stenosis. Canalisation and dilatation were suceessful in 7 patients. Angiographyshowed that the diameter of the canal was expanded to l0～18mm. After intervention thepressure in the inferior vena cava fell markedly in all cases. Follow- up studies showed thatinferior vena cava was still patent 2～19 months later and liver function improved except inone patient who received repeated dilatation for restenosis in the 5th and l2 months.更多还原