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经皮血管腔内支架植入术治疗布-加综合征的应用研究

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

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【作者】 高万勤李云东陈登庭张灿斌史海军韦京华方新历张朝文侯民聚吴江潮

【Author】 GAO Wan qin,LI Yun dong,CHEN Deng ting,et al (Department of Radiology,the Affiliated Hospital of Luoyang Medical College, Luoyang 471003,China)

【机构】 洛阳医专附院放射科洛阳医专附院外科洛阳市直门诊部B超室洛阳医专附院功能科洛阳医专附院放射科 河南洛阳471003河南洛阳471003

【摘要】 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

【Abstract】 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.

【基金】 洛阳市科委计划资助项目 (0 0 1 0 2 5)
  • 【文献出处】 中国医学影像技术 ,Chinese Journal of Medical Imaging Technology , 编辑部邮箱 ,2002年06期
  • 【分类号】R815
  • 【被引频次】2
  • 【下载频次】44
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