[1]宋进华,顾建平,楼文胜,等.肺癌合并上腔静脉综合征的介入治疗[J].介入放射学杂志,2008,(03):182.
　SONG Jinhua,GU Jianping,LOU Wensheng,et al.Interventional treatment of lung cancer complicated with superior vena cava syndrome[J].journal interventional radiology,2008,(03):182.
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肺癌合并上腔静脉综合征的介入治疗()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年03期
页码:
182
栏目:
肿瘤介入
出版日期:
2008-03-15

文章信息/Info

Title:
Interventional treatment of lung cancer complicated with superior vena cava syndrome
作者:
宋进华; 顾建平; 楼文胜; 等
２１０００６南京医科大学附属南京第一医院介入科
Author(s):
SONG Jin－hua; GU Jian－ping; LOU Wen－sheng; HE Xu; CHEN Liang; CHEN Guo－ping; SU Hao－bo; WANG Tao; MA Kun
Nanjing First Hospital Affiliated to Nanjing Medical University，Nanjing２１０００６，China
关键词:
上腔静脉综合征; 肺癌; 放射学; 介入性
分类号:
R７３４.２
文献标志码:
A
摘要:
目的探讨经皮血管内支架植入联合肿瘤供血动脉化疗栓塞治疗肺癌合并上腔静脉综合征的方法及临床价值。方法２８例肺癌合并上腔静脉阻塞患者，经螺旋CT和静脉造影明确诊断，以阻塞远侧静脉压大于２２mmHg 为支架植入适应证，支架植入前明确伴有继发血栓形成患者行抗凝及溶栓治疗，经肘前静脉或股静脉入路，先行狭窄部位球囊扩张术，然后在上腔静脉和头臂静脉狭窄段植入支架，支架植入前后联合支气管动脉栓塞化疗。结果２８例患者成功植入支架３０枚，３例支架内继发急性血栓形成，经过保留导管溶栓治疗成功溶解血栓，２例术后出现肺栓塞，经过血栓抽吸＋抗凝溶栓治疗症状缓解，１例３个月后上腔静脉综合征复发，再次植入１枚支架后上腔静脉重新开通，其余病例在生存期内支架保持通畅。结论上腔静脉支架植入联合支气管动脉栓塞化疗治疗肺癌所致上腔静脉综合征，缓解症状迅速有效、微创、并发症较少，可以明显提高患者的生存质量。

参考文献/References:

［１］Yim CD，Sane SS，Bjarnason H．Superior vena cava stenting［J］．Radiol Clin North Am，２０００，３８：４０９－４２４．
［２］Raman U．Quality assurance guidelines for superior vena cava stenting in malignant disease［J］．Cardiovasc Intervent Radiol，２００６，２９：３１９－３２２．
［３］Hennequin LM，Fade O，Fays JG，et al．Superior vena cava stent placement ：results with the wallstent endoprosthesis［J］．Radiology，１９９５，１９６：３５３－３６１．
［４］Clark TW．Endovascular stenting in superior vena cava syn－drome ：utility of a through－and－through guidewire technique［J］．Can Assoc Radiol，２０００，５１：２５４－２５９．
［５］张福君，吴沛宏，黄金华，等．内支架联合局部定向溶栓治疗上腔静脉综合征［J］．中华肿瘤杂志，２０００，２２：５０７－５０９．
［６］谢晓东，廖正银，卢武胜，等．肺癌合并上腔静脉综合征的血管内支架及溶栓治疗［J］．临床放射学杂志，２００１，２０：３８８－３９１．
［７］Thony F，Moro D，Witmeyer P，et al．Endovascular treatment of superior vena cava obstruction in patients with malignancies［J］．Eur Radiol，１９９９，９：９６５－９７１．

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备注/Memo

备注/Memo:
收稿日期：２００７－１０－１８
更新日期/Last Update: 2008-03-15