[1]赵秋艳,李香茶,张雪梅,等.老年尿毒症患者上腔静脉综合征介入治疗[J].介入放射学杂志,2020,29(05):498-501.
 ZHAO Qiuyan,LI Xiangcha,ZHANG Xuemei,et al.Interventional treatment of superior vena cava syndrome in elderly patients with uremia[J].journal interventional radiology,2020,29(05):498-501.
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老年尿毒症患者上腔静脉综合征介入治疗()

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

卷:
29
期数:
2020年05
页码:
498-501
栏目:
临床研究
出版日期:
2020-05-25

文章信息/Info

Title:
Interventional treatment of superior vena cava syndrome in elderly patients with uremia
作者:
赵秋艳 李香茶 张雪梅 赵成群 刘孝猛 李 磊 崔天蕾
Author(s):
ZHAO Qiuyan LI Xiangcha ZHANG Xuemei ZHAO Chengqun LIU Xiaomeng LI Lei CUI Tianlei.
Department of Outpatient, West China Hospital of Sichuan University, Chengdu, Sichuan Province 610041, China
关键词:
【关键词】 上腔静脉综合征 血液透析 介入治疗 球囊 支架
文献标志码:
A
摘要:
【摘要】 目的 探讨介入治疗老年尿毒症患者上腔静脉综合征(SVCS)的临床效果。 方法 回顾性分析2018年4月至2019年4月在四川大学华西医院接受介入治疗并确诊为SVCS的52例老年尿毒症患者临床资料。观察一次手术成功率、术中并发症发生率。结果 静脉DSA造影显示52例患者均有不同程度上腔静脉病变,其中狭窄病变33例,闭塞病变19例。介入治疗后一次手术成功率为100%(52/52)。52例中单纯球囊扩张44例(84.6%),支架植入8例(15.4%),术后即刻造影均显示静脉壁光滑,血液回流通畅。术中并发症发生率为3.8%(2/52),2例均为锐性开通过程中损伤上腔静脉壁而致心脏压塞,但由于破口小,经约30 min补液后自行闭合。术后随访3~12个月(平均8.9个月),根据疗效评价标准,治愈48例,有效2例,治疗有效率为96.2%(50/52);复发2例(二次介入手术后血流恢复),复发率为3.8%(2/52)。 结论 介入治疗老年尿毒症患者SVCS安全有效,能迅速恢复上腔静脉血流,保证透析血流量,改善患者生活质量,但远期通畅率和复发预防仍有待进一步提高和加强。

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备注/Memo

备注/Memo:
(收稿日期:2019- 07- 14)
(本文编辑:边 佶)
更新日期/Last Update: 2020-05-22