【摘要】 目的　探讨Ｂｕｄｄ—Ｃｈｉａｒｉ综合征血栓形成性下腔静脉闭塞的介入治疗方法。材料和方法　１０例下腔静脉血栓性闭塞患者，病变长度２～１３ｃｍ，介入治疗前给予１～２周以上抗凝，溶栓治疗。下腔静脉再通采用Ｒｕｐｓ—１００型肝内穿刺针的金属鞘及其保护套管，再通后行球囊导管扩张并植入内支架。结果　１０例患者行下腔静脉再通、扩张和支架植入获得成功。患者平均下腔静脉压由术前的３．４２±０．６６ｋＰａ降至术后的１．９０±０．４１ｋＰａ。术中和术后无肺动脉栓塞和其他并发症发生。术后患者症状和体征于２周后明显改善或消失。随访３～２８个月显示经开通的下腔静脉均保持通畅，无再狭窄及血栓形成发生。结论　下腔静脉介入治疗前１～２周给予良好的抗凝治疗．是预防术中血栓脱落致肺梗塞的最佳措施。自膨胀式内支架有支撑和固定血栓的作用，植入时应覆盖闭塞段全程。更多还原

【Abstract】 Purpose To evaluate transluminal stent - angioplasty of Budd-Chiari syndrome with thrombotic occlusion. Materials and methods 10 cases (5 men, 5 women)with thrombotic occlusion(2~ 13cm long)of inferior vena cava (IVC) were treated by recanalization of IVC,balloon dilatation and placement of self expandable metallic stems under anticoagulative treatment in 1-2 weeks before operation. Results All the cases were successfully recanalized and stemed. No pulmonary infarction occurred during and after operation. The IVC pressures dropped from 3. 42± 0. 66kpa to 1. 90±0. 41kpa. The symptoms and signs recovered in 2 weeks and no recurrence were showed in 3-28 months follow--up. Conclusion (1)The good anticoagulative treatment in 1~2 weeks before operation is a better method to prevent the pulmonary infarction. (2)Self expandable stent should cover all the occlusion,which can fix the clots and prevent their movements.更多还原