Cui J, Feng Y, Feng Z
Department of Radiology, Bethune International Peace Hospital, Shijiazhuang.
Zhonghua Wai Ke Za Zhi. 1996 Jul;34(7):400-2.
It is difficult to deal with interventional management of partial stenosis or occlusion type of Budd-chiari syndrome and manage the hepatic veins associated with inferior vena cave occlusion. Puncture, PTA and vascular stent plant were used to treat 12 patients with partial stenosis or occlusion of Budd-chiari syndrome. The procedures were successful. Either the symptoms or signs disappeared or relieved after operation. No severe side effects occurred. Follow-up for 1.5 through 26 months (average 8.5 months) revealed that the early or middle results were gratifying. There may be danger during operation, but perfect skills and adequate clinical anatomic knowledge help avoid severe side effects.
布加综合征部分狭窄或闭塞型的介入治疗以及合并下腔静脉闭塞的肝静脉处理较为困难。采用穿刺、经皮腔内血管成形术(PTA)及血管支架植入术治疗布加综合征部分狭窄或闭塞患者12例,手术成功,术后症状及体征消失或减轻,无严重不良反应发生。随访1.5~26个月(平均8.5个月),近期及中期效果满意。手术虽有一定危险性,但熟练的技术及充分的临床解剖学知识可避免严重不良反应的发生。