[1]李天晓,白卫星,王子亮,等.经皮经肝肝静脉成形术治疗肝静脉阻塞型Budd－Chiari综合征[J].介入放射学杂志,2008,(04):234.
　LI Tianxiao,BAI Weixing,WANG Ziliang,et al.Clinical study on percutaneous transhepatic angioplasty of hepatic veins in the treatment of Budd－Chiari syndrome with occlusion of hepatic veins[J].journal interventional radiology,2008,(04):234.
点击复制

经皮经肝肝静脉成形术治疗肝静脉阻塞型Budd－Chiari综合征()

PDF下载中关闭

分享到：

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

卷:
期数:
2008年04期
页码:
234
栏目:
血管介入
出版日期:
2008-04-15

文章信息/Info

Title:
Clinical study on percutaneous transhepatic angioplasty of hepatic veins in the treatment of Budd－Chiari syndrome with occlusion of hepatic veins
作者:
李天晓; 白卫星; 王子亮; 等
４５０００３郑州河南省人民医院介入科
Author(s):
LI Tian－xiao; BAI Wei－xing; WANG Zi－liang; ZHAI Shui－ting; MA Xiu－xian; CAO Hui－cun
Department of Interventional Therapy，Henan Provincial People's Hospital，Zhengzhou４５０００３，China
关键词:
布加综合征; 肝静脉阻塞; 介入治疗; 腔内血管成形; 支架
分类号:
R５４３.６
文献标志码:
A
摘要:
目的探讨和评价经皮肝穿刺入路肝静脉腔内成形（percutaneous transhepatic recanalization and angioplasty of hepatic vein，PTRAHV）治疗肝静脉型Budd－Chiari综合征（BCS）的可行性和中远期疗效。方法自１９９６年９月至２００６年１０月收治单纯肝静脉阻塞型及肝静脉阻塞伴有下腔静脉阻塞型BCS患者１０１例，在PTRAHV前后经导管测定患者肝静脉压力，观察围手术期并发症，并分别于术前、术后６个月彩超测量门静脉内径、平均流速和血流方向等，计算对比血流量，随访观察受干预血管的通畅率。结果技术成功率９１．１％（９２／１０１）。术中急性肝静脉血栓形成３例，术后发生肝穿刺道出血２例，肝包膜下血肿１例，肺栓塞１例，均经保守治疗痊愈，未发生致死性并发症。随访７４例，术后６个月门静脉平均流速和血流量参数均高于术前（P＜０．０５）；术后６个月、１年和２年的受干预血管的初始再通率分别为８３．８％（６２／７４）、７８．４％（５８／７４）和７６．５％（３９／５１），其辅助再通率分别为９４．６％（７０／７４）、９１．９％（６８／７４）和８４．３％（４３／５１）。结论采用PTRAHV技术治疗膜性或节段性肝静脉型BCS操作简单、安全、有效，其中远期效果令人满意。

参考文献/References:

［１］Dilawari JB，Bambery P，Chawla Y，et al．Hepatic outflow obstruction（Budd－Chiari syndrome ）．Experience with１７７patients and a review of the literature［J］．Medicine（Baltimore），１９９４，７３：２１－３６．
［２］Okuda K．Inferior vena cava thrombosis at its hepatic portion（obliterative hepatocavopathy）［J］．Semin Liver Dis，２００２，２２：１５－２６．
［３］许培钦，党晓卫，马秀现，等．布－加综合征术后复发的防治：附２２３例报告［J］．中国普通外科杂志，２００３，１２：４０４－４０６．
［４］李天晓，韩新巍，马秀现，等．不同类型Budd－Chiari综合征介入治疗研究［J］．中华放射学杂志，１９９９，３３：１８１－１８４．
［５］徐忠立．巴德－恰瑞综合征［M］．第１版．郑州：河南医科大学出版社，２００１，１８５－１８７．
［６］张曦彤，徐克，祖茂衡．Budd－Chiari综合征肝静脉闭塞的介入治疗［J］．中华放射学杂志，２００３，３７：４９９－５０３．
［７］Zhang CQ，Fu LN，Xu L，et al．Long－term effect of stent placement in１１５patients with Budd－Chiari syndrome ［J］．World J Gastroenterol，２００３，９：２５８７－２５９１．
［８］黄备建，吴芳，王文平，等．布加综合征肝静脉和下腔静脉的超声表现［J］．中国医学影像技术，２０００，１６：８７９－８８２．
［９］Xu K，Feng B，Zhong H，et al．Clinical application of interventional techniques in the treatment of Budd－Chiari syndrome ［J］．Chin Med J（Engl），２００３，１１６：６０９－６１５．
［１０］Kwasniewska－Rutczynska A，Bakon L，Januszewicz M，et al．Budd－Chiari syndrome ：current options in interventional radiology treatment exemplified by three selected cases［J］．Med Sci Monit，２００６Jan，１２：CS４－１２．
［１１］Orloff MJ ，Orloff MS ，Girard B，et al．Bleeding esophagogastric varices from extrahepatic portal hypertension：４０years' experience with portal－systemic shunt ［J］．J Am Coll Surg，２００２，１９４：７１７－７２８．
［１２］Srinivasan P，Rela M，Prachalias A，et al．Liver transplantation for Budd－Chiari syndrome ［J］．Transplantation，２００２，７３：９７３－９７７．
［１３］Sprouse LR，Lesar CJ ，Meier GH，et al．Percutaneous treatment of symptomatic central venous stenosis［J］．J Vasc Surg，２００４，３９：８６７．
［１４］Buller HR，Agnelli G，Hull RD，et al．Antithrombotic therapy for venous thromboembolic disease：the seventh ACCP Confe－rence on antithrombotic and thrombolytic therapy［J］．Chest，２００４，１２６（３Suppl ）：４０１S－４２８S

相似文献/References:

[1]王佾,张辉,郭成浩,等.下腔静脉隔膜阻塞型布－加综合征的病理学及病因学研究[J].介入放射学杂志,2008,(07):500.
　WANG Yi,ZHANG Hui,GUO Chenghao,et al.Pathologic and etiologic studies of membrane obstruction of the inferior vena cava in Budd－Chiari syndrome[J].journal interventional radiology,2008,(04):500.
[2]丁鹏绪,韩新巍,水少锋,等.布加综合征：搅拌溶栓治疗下腔静脉内新鲜血栓形成[J].介入放射学杂志,2010,(02):127.
　DING Pengxu,HAN Xinwei,SHUI Shaofeng,et al.Agitating thrombolysis technique for the treatment of inferior vena cava fresh thrombus in patients with Budd－Chiari syndrome[J].journal interventional radiology,2010,(04):127.
[3]牛志科,吕光华,杜飞,等.布－加综合征介入治疗及并发症分析[J].介入放射学杂志,2010,(05):405.
　NIU Zhike,LV Guanghua,DU Fei,et al.Analysis of the complications in interventional treatment for Budd－Chiari syndrome[J].journal interventional radiology,2010,(04):405.
[4]丁鹏绪,吴刚,韩新巍,等.Budd－Chiari综合征：预开通治疗下腔静脉内陈旧性血栓[J].介入放射学杂志,2010,(09):702.
　DING Pengxu,WU Gang,HAN Xinwei,et al.Predilation technique for the treatment of old inferior vena cava thrombus in patients with Budd－Chiari syndrome[J].journal interventional radiology,2010,(04):702.
[5]张书田,崔进国,李美方,等.布加综合征介入治疗前后的临床处理[J].介入放射学杂志,1997,(01):60.
[6]张戌周,崔进国,尹志军,等.布加综合征介入治疗中的造影技术[J].介入放射学杂志,1997,(01):59.
[7]李麟荪.评布加综合征定义与分型[J].介入放射学杂志,2007,(02):75.
　LI Lin-sun.Comment on definition and classification of Budd-Chiari syndrome[J].journal interventional radiology,2007,(04):75.
[8]朱康顺,关守海,何可可,等.肝移植术后肝静脉流出道梗阻的介入治疗[J].介入放射学杂志,2009,(03):170.
　ZHU Kangshun,GUAN Shouhai,HE Keke,et al.Interventional management of hepatic venous outflow obstruction after liver transplantation[J].journal interventional radiology,2009,(04):170.
[9]丁鹏绪,张文广,韩新巍,等.改良式TI PS治疗肝静脉广泛阻塞型布－加综合征的近期疗效[J].介入放射学杂志,2011,(02):138.
　HAN Xin-wei,ZHANG Wen-guang,DING Peng-xu,et al.Modified TIPS for the treatment of Budd-Chiari syndrome with extensive occlusion of hepatic veins: its short-term results[J].journal interventional radiology,2011,(04):138.
[10]梅健,屈健,朱耀青,等.Inoue 球囊技术在下腔静脉成形术中的应用[J].介入放射学杂志,2007,(11):777.
　MEI Jian,QU Jian,ZHU Yao-qing,et al.Clinical application of Inoue-balloon in percutaneous transluminal angioplasty for Budd-Chiari syndrome[J].journal interventional radiology,2007,(04):777.

备注/Memo

备注/Memo:
收稿日期：２００７－０８－２９
更新日期/Last Update: 2008-04-15