论文部分内容阅读
目的探讨应用经皮球囊扩张术(PTA)治疗布-加综合征的意义和方法。方法布-加综合征76例,采用经皮球囊扩张术和/或支架植入术,治疗前后测量下腔静脉/肝静脉及右房压力,下腔静脉/肝静脉造影观察治疗前后管腔内径的改变。结果PTA术后测量右心房与下腔静脉/肝静脉的马夸膜梯度差均小于12cm H2O,扩张后原下腔静脉狭窄/闭塞处直径平均约10mm,原肝静脉狭窄/闭塞处直径平均约5mm,术前临床表现及体征均明显改善或消失。结论PTA治疗布-加综合征是安全、有效的方法,可做为首选治疗手段。
Objective To explore the significance and method of percutaneous balloon dilatation (PTA) in the treatment of Budd-Chiari syndrome. Methods 76 patients with Budd-Chiari syndrome were treated with percutaneous balloon dilatation and / or stent implantation. The inferior vena cava / hepatic vein and right atrium were measured before and after treatment. The inferior vena cava / hepatic vein were observed before and after treatment Inner diameter changes. Results The postoperative PTA measurement of the right atrium and inferior vena cava / hepatic vein Marquat gradient difference were less than 12cm H2O, the expansion of the original inferior vena cava stenosis / occlusion at an average diameter of about 10mm, the original diameter of the hepatic vein stenosis / occlusion at an average of about 5mm, preoperative clinical manifestations and signs were significantly improved or disappeared. Conclusion PTA treatment of Budd-Chiari syndrome is a safe and effective method, which can be used as the preferred treatment.