金龙,高健,邹英华,杜湘柯.上腔静脉综合征的介入治疗[J].中国医学影像技术,2002,18(1):18~19
上腔静脉综合征的介入治疗
Treatment of Superior Vena Cava Syndrome by Means of Thrombolysis and Endovascular Stent Placement
投稿时间:2001-08-23  
DOI:
中文关键词:  上腔静脉综合征  放射学,介入治疗  支架
英文关键词:Superior vena cava syndrome  Radiology, interventional therapy  Stents
基金项目:
作者单位
金龙 北京大学人民医院放射科,北京 100044 
高健 北京大学人民医院放射科,北京 100044 
邹英华 北京大学第一医院放射科 
杜湘柯 北京大学人民医院放射科,北京 100044 
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中文摘要:
      目的 探讨血管腔内成形技术在上腔静脉综合征(SVCS)治疗中的应用价值。方法 14例SVCS患者,男11例,女3例。病因包括:中心型肺癌9例,纵隔转移瘤4例,淋巴瘤1例。应用经导管局部溶栓 + 内支架成形术(PTAS)治疗。结果 初次治疗的血管再通率为86%,术后24~48h内患者的临床症状即有明显减轻,随访1~20个月(平均8.3个月),仅4例于术后2周内发生支架再狭窄,经再次治疗效果满意。结论 血管腔内成形术是治疗上腔静脉综合征的有效方法。
英文摘要:
      Objective To evaluate the value of endovascular therapy in the treatment of superior vena cava syndrome (SVCS). Methods Fourteen consecutive patients (11 men, 3 women ) with superior vena cava syndrome underwent local thrombolysis and endovascular stent placement. The cause was central bronchogenic carcinoma in 9, metastatic tumor in 4, and lymphoma in 1. Results The primary recanalization rate was 86%. The symptoms disappeared or alleviated obviously in 12 patients within 24~48 hours after the treatment. During the follow-up of 1 to 20 months (average 8.3 months ), there were only 4 restenosis that could be treated successfully. Conclusion Catheter-directed thrombolysis and endovascular stent placement is a safe and effective treatment for superior vena cava syndrome.
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