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目的比较血管内支架植入术治疗动脉和静脉血管狭窄性疾病的近、远期疗效。方法动、静脉狭窄性疾病分别以肾动脉狭窄(RAS)和布-加综合征(BCS)为例,回顾性分析22例RAS和46例BCS的血管内支架植入治疗的疗效,并比较其治疗3个月后发生再狭窄的情况。结果22例RAS和46例BCS接受血管内支架植入治疗后症状均有不同程度减轻,术后重复造影显示狭窄部位均消失,术后随访3年分别发生再狭窄6例和8例。结论动脉和静脉血管狭窄性疾病行血管内支架植入术的近期疗效(3个月内)均良好,远期疗效(3个月~3年)略差。
Objective To compare the short-term and long-term effects of intravascular stenting in the treatment of arterial and venous stenosis. Methods Vascular stenosis (RAS) and Budd-Chiari syndrome (BCS) were used as an example to analyze the curative effect of endovascular stenting in 22 patients with RAS and 46 BCS. Restenosis occurred after 3 months. Results Twenty-two cases of RAS and 46 cases of BCS were treated with endovascular stenting. The symptoms were relieved to varying degrees. Repeated angiography showed that the stenosis disappeared. There were 6 and 8 cases of restenosis after 3 years of follow-up respectively. Conclusions The short-term curative effect (within 3 months) of endovascular stenting for arterial and venous stenosis is good, and the long-term curative effect (3 months to 3 years) is slightly worse.