吸、溶栓术联合血管腔内成形术在布-加综合征合并下腔静脉血栓形成治疗中的应用

官泽宇; 高涌; 卢冉; 孙勇; 陈世远; 宋涛

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

吸、溶栓术联合血管腔内成形术在布-加综合征合并下腔静脉血栓形成治疗中的应用

官泽宇 , 高涌 , 卢冉 , 孙勇 , 陈世远 , 宋涛

文章导航 > 蚌埠医学院学报 > 2012, 36 > 2: (151-153)

引用本文:

Citation:

吸、溶栓术联合血管腔内成形术在布-加综合征合并下腔静脉血栓形成治疗中的应用

1.
蚌埠医学院第一附属医院血管外科,安徽蚌埠,233004

作者简介: 官泽宇(1981-)，男，硕士研究生.

通讯作者: 高涌, Dr.gaoyong@163.com ;

基金项目:
安徽省科技计划资助项目(08020303090)

The application of thrombus aspirate technique and thrombolysis in Budd-Chiari syndrome complicated with inferior vena cava thrombus

1.
Department of Cardiovascular Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China

Corresponding author: GAO Yong, Dr.gaoyong@163.com ;

摘要: 目的：探讨吸、溶栓术联合血管腔内成形术治疗布-加综合征(Budd-Chiari syndrome，BCS)合并下腔静脉(IVC)血栓形成中的效果。方法：对11例BCS合并IVC血栓形成患者经股静脉穿刺行IVC造影，采用吸栓加溶栓技术消除血栓，后行腔内球囊扩张血管成形术。出院后采用彩色多普勒随访IVC有无再狭窄或闭塞。结果：11例均为IVC膜性阻塞，采用吸栓加溶栓后血栓完全消失7例；保留IVC导管溶栓4 d后血栓消失2例；7 d后消失2例；腔内球囊扩张血管成形术后均未出现肺栓塞症状。术后随访IVC通畅良好，无IVC再阻塞及血栓形成发生。结论：吸栓加溶栓术联合血管腔内成形术治疗BCS合并IVC血栓形成的效果良好。
- 布-加综合征 /
- 静脉血栓形成 /
- 吸栓 /
- 血管成形术,气囊
Abstract: Objective:To evaluate the therapeutic efficacy of thrombus aspiration technique and thrombolysis of intracavitary and percutaneous transluminal angioplasty(PTA) for Budd-Chiari syndrome(BCS) complicated with inferior vena cava(IVC)thrombus. Methods:The clinical data of 11 cases of BCS complicated with IVC thrombus were collected.Venipuncture through femoral vein and inferior vena cavography were performed,and aspiration thrombus technique and thrombolysis of intracavitary were used to eliminate thrombus.After angiography of IVC,the recanalization of IVC was performed,which was followed by thrombus aspiration technique and thrombolysis of intracavitary.Finally,IVC was dilated with percutaneous transluminal balloon angioplasty.The clinical observation was used by color Doppler post-discharge. Results:All the patients occlusion was barrier diaphragm before operation,adopting this treatment,7 patients thrombus was eliminated instantly,after using intraductal thrombolysis,2 patients thrombus was eliminated 4 days later,2 patients thrombus was eliminated 7 days later.And pulmonary embolism was not happened with percutaneous transluminal balloon angioplasty.In following-up visit,blood current of IVC was continuous,there had no re-occlusion or thrombus happening. Conclusions:The therapeutic efficacy of thrombus aspiration technique and thrombolysis of intracavitary and PTA for BCS complicated with IVC thrombus is safe and effective.
- Budd-Chiari syndrome /
- venous thrombosis /
- aspirate thrombus /
- angioplastyballon

[2] 高涌.布-加综合征治疗方法的选择[J]临床外科杂志,2007,15(3):153-155.
[2]	韩新巍,丁鹏绪,高雪梅,等.Budd-Chiari综合征:下腔静脉阻塞合并血栓的可回收内支架设计与应用[J].介入放射学杂志,2006,15(9):533-536.
[3] 徐浩,祖茂衡,顾玉明,等.Budd-Chiari综合征合并血栓形成的介入治疗[J].中华放射学杂志2001,35(1):24-27.
[4] 杨军,奚九一.静脉血栓早期机化阶段动物模型的建立[J].中国中医基础医学杂志,2005,11(3):199-201.
[5] 杨泉,盖鲁粤,杨庭树,等.血栓抽吸联合替罗非班治疗血栓负荷病变疗效观察[J].中国康复理论与实践,2007,13(12):1174-1175.
[6] 丁鹏绪,韩新巍,水少锋,等.布加综合征:搅拌溶栓治疗下腔静脉内新鲜血栓形成[J].介入放射学杂志,2010,19(2):127-129.

[1]	孙友芳 , 亓晓燕 , 倪红霞 . 介入联合手术取栓治疗急性下肢深静脉血栓形成50例护理体会. 蚌埠医学院学报, 2008, 33(5): 620-622.
[2]	周为民 , 高涌 , 余朝文 , 聂中林 , 卢冉 , 李晓强 , 宋涛 , 刘凤恩 . 手术联合腔内技术治疗下肢深静脉血栓形成. 蚌埠医学院学报, 2007, 32(2): 149-152.
[3]	韩梅 , 胡云芝 , 倪红霞 . 下腔静脉永久性滤器置入治疗下肢深静脉血栓形成的护理. 蚌埠医学院学报, 2009, 34(11): 1040-1041.
[4]	高涌 , 余朝文 , 周为民 , 聂中林 , 卢冉 . 介入联合手术取栓治疗左髂静脉受压综合征并发下肢深静脉血栓形成. 蚌埠医学院学报, 2006, 31(6): 584-586.
[5]	卢冉 , 高涌 , 聂中林 , 陈世远 , 宋涛 , 徐超 . 导管溶栓联合支架植入术治疗急性髂股静脉血栓形成. 蚌埠医学院学报, 2019, 44(6): 745-748. doi: 10.13898/j.cnki.issn.1000-2200.2019.06.013
[6]	张应战 , 赵群 , 蔡超 , 蒋礼 , 邓雪飞 . 血管内支架治疗髂股静脉血栓形成后综合征的疗效分析. 蚌埠医学院学报, 2021, 46(7): 933-936. doi: 10.13898/j.cnki.issn.1000-2200.2021.07.023
[7]	倪良宏 , 郭劲松 , 唐军建 , 马宁 . 术后并发下肢深静脉血栓形成的静脉溶栓治疗. 蚌埠医学院学报, 2005, 30(1): 52-53.
[8]	王长春 , 郭劲松 , 倪良红 . 置管溶栓治疗急性下肢深静脉血栓形成28例. 蚌埠医学院学报, 2014, 39(11): 1482-1483.
[9]	侯建荣 , 任庆芹 . 彩色多普勒超声对布加综合征下腔静脉阻塞病变诊断的应用价值. 蚌埠医学院学报, 2019, 44(11): 1530-1532. doi: 10.13898/j.cnki.issn.1000-2200.2019.11.026
[10]	唐雯雯 , 陈永侠 , 张爱武 . 程序化护理干预对深静脉血栓形成病人行滤器置入术的护理效果. 蚌埠医学院学报, 2018, 43(3): 410-412. doi: 10.13898/j.cnki.issn.1000-2200.2018.03.039
[11]	王长春 , 韩潞 , 倪良红 . 置管溶栓治疗急性血栓性下腔静脉综合征2例. 蚌埠医学院学报, 2015, 39(7): 934-935. doi: 10.13898/j.cnki.issn.1000-2200.2015.07.035
[12]	万永慧 , 陈三妹 . 经中心静脉导管溶栓治疗PICC并发深静脉血栓的护理. 蚌埠医学院学报, 2010, 35(12): 1310-1312.
[13]	郭洪启 , 李军 , 高照 , 张鹏 . 导管溶栓与经足背静脉溶栓治疗急性下肢深静脉血栓疗效比较. 蚌埠医学院学报, 2016, 41(9): 1221-1223. doi: 10.13898/j.cnki.issn.1000-2200.2016.09.032
[14]	佘绍逸 , 郑晓 , 李彤 , 佘璇瑜 , 何学军 . 尿道综合征的误诊与尿道口成形术治疗. 蚌埠医学院学报, 2006, 31(2): 156-157.
[15]	辛克锋 , 李铭 , 李永华 , 吴兆进 . 布-加综合征临床特点及误诊分析. 蚌埠医学院学报, 2011, 36(8): 835-836.
[16]	郭劲松 , 倪良宏 , 唐军建 , 马宁 . 下肢深静脉血栓形成外科治疗分析. 蚌埠医学院学报, 2004, 29(5): 411-412.
[17]	秦成义 , 高涌 . 急性下肢深静脉血栓形成的外科干预. 蚌埠医学院学报, 2009, 34(11): 972-974.
[18]	胡锦江 . 肠系膜静脉血栓形成9例误诊分析. 蚌埠医学院学报, 2004, 29(5): 453-454.
[19]	陈静 , 刘莉华 , 马胜银 , 高军 , 宫峰 . 超声引导下经皮腔内血管成形术治疗人工血管动静脉内瘘狭窄：单中心36例病人通畅率分析. 蚌埠医学院学报, 2023, 48(4): 486-489. doi: 10.13898/j.cnki.issn.1000-2200.2023.04.016
[20]	孙勇 , 余朝文 , 卢冉 , 聂中林 , 王孝高 , 高涌 . 经导管持续溶栓联合间歇性脉冲抗凝治疗急性下肢深静脉血栓的效果观察. 蚌埠医学院学报, 2018, 43(8): 1016-1018,1021. doi: 10.13898/j.cnki.issn.1000-2200.2018.08.011

点击查看大图

计量

文章访问数: 4038
HTML全文浏览量: 292
PDF下载量: 500
被引次数: 0

吸、溶栓术联合血管腔内成形术在布-加综合征合并下腔静脉血栓形成治疗中的应用

通讯作者: 高涌, Dr.gaoyong@163.com;

作者简介: 官泽宇(1981-)，男，硕士研究生.

1. 蚌埠医学院第一附属医院血管外科,安徽蚌埠,233004

收稿日期: 2011-03-11
网络出版日期: 2012-02-15

基金项目: 安徽省科技计划资助项目(08020303090)

关键词:

摘要: 目的：探讨吸、溶栓术联合血管腔内成形术治疗布-加综合征(Budd-Chiari syndrome，BCS)合并下腔静脉(IVC)血栓形成中的效果。方法：对11例BCS合并IVC血栓形成患者经股静脉穿刺行IVC造影，采用吸栓加溶栓技术消除血栓，后行腔内球囊扩张血管成形术。出院后采用彩色多普勒随访IVC有无再狭窄或闭塞。结果：11例均为IVC膜性阻塞，采用吸栓加溶栓后血栓完全消失7例；保留IVC导管溶栓4 d后血栓消失2例；7 d后消失2例；腔内球囊扩张血管成形术后均未出现肺栓塞症状。术后随访IVC通畅良好，无IVC再阻塞及血栓形成发生。结论：吸栓加溶栓术联合血管腔内成形术治疗BCS合并IVC血栓形成的效果良好。

English Abstract

The application of thrombus aspirate technique and thrombolysis in Budd-Chiari syndrome complicated with inferior vena cava thrombus

Corresponding author: GAO Yong, Dr.gaoyong@163.com

1. Department of Cardiovascular Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China

Received Date: 2011-03-11
Available Online: 2012-02-15

Abstract: Objective:To evaluate the therapeutic efficacy of thrombus aspiration technique and thrombolysis of intracavitary and percutaneous transluminal angioplasty(PTA) for Budd-Chiari syndrome(BCS) complicated with inferior vena cava(IVC)thrombus. Methods:The clinical data of 11 cases of BCS complicated with IVC thrombus were collected.Venipuncture through femoral vein and inferior vena cavography were performed,and aspiration thrombus technique and thrombolysis of intracavitary were used to eliminate thrombus.After angiography of IVC,the recanalization of IVC was performed,which was followed by thrombus aspiration technique and thrombolysis of intracavitary.Finally,IVC was dilated with percutaneous transluminal balloon angioplasty.The clinical observation was used by color Doppler post-discharge. Results:All the patients occlusion was barrier diaphragm before operation,adopting this treatment,7 patients thrombus was eliminated instantly,after using intraductal thrombolysis,2 patients thrombus was eliminated 4 days later,2 patients thrombus was eliminated 7 days later.And pulmonary embolism was not happened with percutaneous transluminal balloon angioplasty.In following-up visit,blood current of IVC was continuous,there had no re-occlusion or thrombus happening. Conclusions:The therapeutic efficacy of thrombus aspiration technique and thrombolysis of intracavitary and PTA for BCS complicated with IVC thrombus is safe and effective.