介入治疗Budd-Chiari综合征45例体会
Experience of endovascular therapy for Budd}hiari syndrome
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摘要: 目的:探讨介入治疗Budd-Chiari综合征的临床价值和治疗体会。方法:10例狭窄行单纯球囊扩张成形术,35例闭塞行球囊扩张成形术+支架置入术。结果:44例患者治疗获得成功,症状缓解。4例支架内继发血栓形成,其中3例经溶栓后症状缓解,1例支架内再次置入支架。1例闭塞未穿刺成功,行外科手术治疗。结论:介入治疗Budd-Chiari综合征安全有效。Abstract: Objective:To assess the clinical value of endovascular therapy for Budd-Chiari syndrome(BCS).Methods:Forty-five cases with BCS were analyzed retrospectively.There were 10 cases treated only with balloon dilatation angioplasty,35 cases with balloon dilatation angioplasty and placement of stent.Results:Forty-four cases were treated successfully,and the symptoms were relieved.Among the 4 cases of recurrent superior vena cava obstruction,1 case was received second stent placement,and 3 cases were treated with thrombolytic therapy,and recurrent symptoms were relieved.Conclusions:Endovascular therapy for BCS is very effective and safe.
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Key words:
- Budd-Chiari syndrome /
- interventional therapy /
- thrombosis
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