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目的:研究肝癌合并 Budd-Chiari综合征的诊断方法及其介入治疗效果。方法:回顾性分析30例合并Budd-Chiari综合征的肝癌患者的临床表现、影像学检查、介入治疗效果。结果:在1300例肝癌患者中发现 30例合并 Budd-Chiari综合征,临床主要为腔静脉高压表现;28例为单纯下腔静脉狭窄,2例合并肝静脉狭窄。经放置金属内支架后,30例狭窄血管均获再通。结论:Budd-Chiari综合征可合并肝癌出现,介入性支架放置术可取得满意治疗效果。
Objective: To study the diagnostic method of hepatocellular carcinoma with Budd-Chiari syndrome and its interventional effect. Methods: A retrospective analysis of 30 patients with Budd-Chiari syndrome in patients with liver cancer clinical manifestations, imaging studies, interventional effect. Results: Thirty patients with Budd-Chiari syndrome were found in 1300 patients with hepatocellular carcinoma. The main clinical manifestations were cavopulmonary hypertension, 28 cases with simple IVC and 2 cases with hepatic vein stenosis. After placement of metal stent, 30 cases of stenotic vessels were recanalized. Conclusion: Budd-Chiari syndrome may be associated with hepatocellular carcinoma. The interventional stenting can achieve satisfactory therapeutic effect.