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目的探讨在Budd-Chiari综合征(BCS)下腔静脉阻塞介入治疗中,使用球囊导管保护钢针开通破膜的可行性和安全性。方法 76例经彩色多普勒(其中50例再行磁共振成像)和血管造影证实的BCS下腔静脉阻塞患者,在透视下,使用球囊导管保护钢针破膜成功,并给予直径25mm或30mm球囊导管扩张治疗,术后1周予以彩色超声复查。结果本组76例患者全部破膜开通成功,未发生一例下腔静脉破裂、心包填塞和腹腔出血。结论使用球囊导管保护钢针开通下腔静脉阻塞,是一种简便、安全和实用的方法。
Objective To explore the feasibility and safety of using balloon catheter to protect the needle during the interventional treatment of vena cava occlusion under Budd-Chiari syndrome (BCS). Methods Seventy-six patients with BCS inferior vena cava obstruction confirmed by color Doppler (including 50 re-MR) and balloon angiography underwent balloon catheterization to protect the needle from rupture of the needle under fluoroscopy. The diameter of the needle was 25mm or 30mm balloon catheter dilation treatment, 1 week after color ultrasound. Results All of the 76 patients in this group had successful rupture of the rupture membrane without rupture of the inferior vena cava, tamponade and celiac hemorrhage. Conclusion It is a simple, safe and practical method to use the balloon catheter to protect the inferior vena cava obstruction.