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目的:探讨超声引导下腔内治疗联合分流术治疗布-加综合征的临床效果。方法:在医院2013年12月-2014年9月诊治的布-加综合征患者中抽取78例作研究对象,对其实施超声引导下腔内治疗联合分流术治疗,对比其治疗前后的下腔静脉血流动力学变化,并评估其远期疗效。结果:与治疗前相比,本组患者治疗后的下腔静脉内径、右房压、阻塞者以及狭窄者病变部位血流速度均明显升高(P<0.05),而下腔静脉压和右肋缘下肝脏则明显减小(P<0.05);肿大肝脏平均缩小(5.51±0.69)cm,肿大脾脏平均缩小(5.84±0.66)cm,下腔静脉缩小1~3 mm,腹水平均消失时间(14.58±3.37)d。结论:超声引导下腔内治疗联合分流术治疗布-加综合征的临床效果显著,可行性高。
Objective: To investigate the clinical effect of ultrasound-guided endoluminotherapy combined with shunt for the treatment of Budd-Chiari syndrome. Methods: Seventy-eight patients with Budd-Chiari syndrome who were diagnosed and treated in our hospital from December 2013 to September 2014 were enrolled in this study. The patients underwent ultrasound-guided endovascular treatment combined with shunting, and compared with the lower chamber before and after treatment Venous hemodynamic changes were assessed and their long-term efficacy assessed. Results: Compared with those before treatment, the IVF, right atrial pressure, occlusion and the stenosis of the stenosis were significantly increased (P <0.05), while the inferior vena cava pressure and the right (P <0.05). The enlarged liver was reduced (5.51 ± 0.69) cm on average, the enlarged spleen was reduced on average (5.84 ± 0.66) cm, the inferior vena cava was reduced by 1 to 3 mm, and the ascites disappeared Time (14.58 ± 3.37) d. Conclusion: Ultrasound-guided endovascular treatment combined with shunt treatment of Budd-Chiari syndrome clinical effect is significant and feasible.