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目的:研究和评价Budd-Chiari(BCS)综合征的介入治疗结果。材料与方法:对23例各型BCS患者在B超及透视监视下采用闭塞部位穿刺、球囊扩张及支撑架技术进行治疗。结果:22例成功,无严重手术并发症,术后患者症状明显缓解,腔静脉压差由2.4±1.1kPa降为0.7±0.2kPa,肝静脉压差由2.8±0.9kPa降为0.5±0.3kPa。经过6个月~4年随访,通畅率82%,复发病例经再次治疗均获成功。结论:采用介入技术治疗BCS,安全、损伤小、效果可靠,可作为首选治疗方法
PURPOSE: To study and evaluate the results of interventional treatment of Budd-Chiari syndrome (BCS) syndrome. Materials and Methods: Twenty-three patients with various types of BCS were treated with occlusion site puncture, balloon dilatation and stent technology under B-ultrasound and fluoroscopic surveillance. Results: Twenty-two patients were successful without serious complications and the symptoms of patients were relieved. The pressure in the vena cava decreased from 2.4 ± 1.1kPa to 0.7 ± 0.2kPa and the pressure in the hepatic veins decreased from 2.8 ± 0.9kPa reduced to 0.5 ± 0.3kPa. After 6 months to 4 years of follow-up, patency rate of 82%, the recurrence of cases were re-treated were successful. Conclusion: The interventional treatment of BCS, safety, less damage, the effect is reliable, can be used as the preferred treatment