摘要
目的：根据合并肝静脉阻塞Ｂｕｄｄ－Ｃｈｉａｒｉ综合征的血液动力学特征，研究该型Ｂｕｄｄ－Ｃｈｉａｒｉ综合征的介入治疗方法。材料与方法：本组４例，临床主要症状为腹胀，肝肿大，胸腹壁静脉曲张，２例继发门脉高压。诊断经彩超、下腔静脉及肝静脉造影确诊。应用经颈静脉肝内门体静脉分流术Ｒｕｐｓ－１００肝穿装置行肝静脉开通术及ＰＴＡ。结果：４例肝静脉开通术及ＰＴＡ均获成功，３例为右肝静脉，１例为左肝静脉。肝静脉压力由术前的２．６７±０．４０ｋＰａ降至术后的１．２５±０．４０ｋＰａ。术后随访２０天～３个月，患者一般情况良好，未见术前症状复发。结论：对合并肝静脉阻塞的Ｂｕｄｄ－Ｃｈｉａｒｉ综合征进行介入治疗，重要的是开通阻塞的肝静脉，解除因肝静脉回流受阻所至的淤血性肝硬化门脉高压，临床效果好。对合并下腔静脉阻塞侧枝循环建立好的。
Objective: In this paper we reported that how to do interventional treatment to Budd Chiari syndrome with hepatic veins occlusion according to the hemodynamics changes feature.Materials and Methods:4 cases, their clinical manifestations are of abdominal distention, liver enlargement, varicoses in chest and abodomainal walls, two of them complicated with portal hypertension. The diagnosis was confirmed by color Doppler sonographies, inferior vena cave and or selective hepatic venography. Using Rups 100 device, which used in TIPSS, to opening the occlusive hepatic veins and to do PTA procedure.Results: The procedures for 4 cases were all successful. 3 of them were occlusive in right hepatic veins, the other was left hepatic vein. The hepatic pressure changed from 2.67±0.40kPa before operation to 1.25±0.40kPa after. The follow up times were 20 days to 3 months. The patients were all good, and no recurrence.Conclusion: We offer that the most important things in this operation is to opening the occlusive hepatic veins so that to relieve its complicated portal hypertension due to congestive cirrhosis. In the case of occlusive hepatic veins and inferior vena cave that has a good collateral circulation. the management to the IVC is not neccesary.
出处
《临床放射学杂志》
CSCD
北大核心
1996年第3期179-181,共3页
Journal of Clinical Radiology
关键词
肝静脉阻塞
布-加综合征
介入疗法
Hepatic veins occlusion Hepatic veins canalization Hepatic veins angioplasty
