【摘要】 目的:探讨支架置入术治疗原发性肝癌并下腔静脉阻塞的近期疗效。方法:回顾性分析对30例因原发性肝癌并下腔静脉阻塞行介入治疗的患者资料,其中24例仅行下腔静脉支架置入术,4例行下腔静脉及右心房联合支架置入术,2例行下腔静脉及肝静脉联合支架置入术。观察其近期疗效,并对其进行评价分析。结果:30例患者支架置入术均成功,未发现有任何严重手术并发症,术后患者Child-Push分级及临床症状较术前明显改善(P<0.05)。结论:支架置入术治疗肝癌并发下腔静脉阻塞的短期疗效显著,可使患者获得进一步积极治疗的机会。更多还原

【Abstract】 Objective:The purpose of this study was to evaluate short-term therapeutic efficacy of stent placement in hepatocellular carcinoma(HCC) associated with inferior vena cava obstruction.Methods:A retrospective analysis was conducted of 30 patients who sufferd from HCC accompanied with inferior vena cava obstruction and received interventional therapy.Twenty-four patients were merely treated with inferior vena cava stent placement,4 patients underwent inferior vena cava and right atrium conbined stent placement,and 2 patients underwent inferior vena cava and hepatic vein conbined stent placement.Technical success,complication and short-term response to treatment,including Child-Pugh classification and clinical symptoms,were observed.Results:Stent placement was successfully performed in thirty patients.No complications occurred in these patients.There were significant improvement in Child-Pugh classification and clinical symptoms before and after stent placement(P<0.05).Conclusion:Stent placement had significant short-term effects on HCC accompanied with inferior vena cava obstruction,by which some patients were able to be given the opportunity for further aggressive treatment.更多还原