【摘要】 目的　评价单球囊导管扩张及内支架置放治疗膜性及段性布 -加综合征。方法　 34例布 -加综合征接受了上、下腔静脉同时插管造影及下腔静脉单球囊导管扩张和内支架置放治疗。结果　 33例穿刺、扩张成功。下腔静脉阻塞段分别被扩张至 10～ 2 0 mm,9例置入金属内支架 ,阻塞下方下腔静脉压力从平均 (2 .71± 0 .78) k Pa下降至 (1.98± 0 .85 ) k Pa。结论　上下腔同时插管造影 ,阻塞段部位及长度显示清楚 ,单个大球囊置入简便 ,扩张确切 ,段性者配合内支架置入可在一定程度上预防再狭窄更多还原

【Abstract】 Objective To evaluate single balloon dilatation and placenment of the stent for the treatment of Budd Chiari Syndrome.Methods Thirty four patients with Budd Chiari Syndrome underwent covagraphy catheterized through superior and inferior vena cava (IVC) simultaneously and single balloon dilatation of IVC and placement of metallic stents.Results Puncture and dilatation were successful in 33 patients.The obstructed segments of IVC were dilated to 10～20 mm in diameter.Nine metallic stents were placed in 9 cases. The caval pressure below obstruction were reduced from(2.71±0.78) kPa to(1.98±0.85) kPa in average.Conclusions Covagraphy catheterized through superior and inferior vena cava (IVC)simultaneously reveals the site and length of the obstruction clearly.Insertion of large single balloon is technically simple and dilatation is definite.Restenosis in segmental type may be prevented by stent insertion.更多还原