苏洪英,徐克,祖茂衡,赵金旭,崔进国,杨学良,冯博.国产ZQ型腔静脉支架治疗布-加综合征下腔静脉病变的疗效观察[J].中国医学影像技术,2003,19(10):
国产ZQ型腔静脉支架治疗布-加综合征下腔静脉病变的疗效观察
Clinical Application of Home-Made ZQ-Stent Implantation in the Treatment of Budd-Chiari Syndrome
投稿时间:2003-09-11  
DOI:
中文关键词:  布-加综合征  内支架  介入治疗
英文关键词:Budd-Chiari syndrome  Stent  Interventional therapy
基金项目:本研究为国家"九五"科技攻关资助课题(96-907-01-02)。
作者单位
苏洪英 中国医科大学附属一院放射科,辽宁 沈阳 110001 
徐克 中国医科大学附属一院放射科,辽宁 沈阳 110001 
祖茂衡 徐州医学院附属医院放射科
 
赵金旭 山东省荷泽地区人民医院放射科 
崔进国 石家庄市白求恩国际和平医院 
杨学良 济南军区第一五零医院放射科 
冯博 中国医科大学附属一院放射科,辽宁 沈阳 110001 
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中文摘要:
      目的 探讨国产ZQ型腔静脉支架(ZQS)治疗布-加综合征(BCS)下腔静脉病变的临床疗效。方法 161例BCS下腔静脉病变,在闭塞开通术及球囊扩张术的基础上,置入国产ZQS。结果 161例共置入ZQS 165枚。其中置入3节ZQS者153例(含4例置入2枚3节ZSQ者),置入2节ZQS者6例,置入4节ZQS者1例。ZQS置入成功者157例,成功率为97.5%。失败者4例,占2.5 %。失败原因为支架位置不正或/和展开不良。与支架置入相关的并发症1例,为支架置入后急性血栓形成。随访3~60个月(平均28.9月),6例出现再狭窄。结论 国产ZQ型腔静脉支架治疗BCS下腔静脉病变安全、有效,可以替代同类进口产品。
英文摘要:
      Purpose To evaluate the effect of home-made ZQ-stent (ZQS) to treat Budd-Chiari syndrome (BCS). Methods 161 patients with BCS were treated with home-made ZQS after the recanalization and PTA. Results 165 ZQS were implanted in these 161 cases, in which 153 cases were treated with trisegments ZQS( including 4 cases, each placed with 2 trisegments ZQS); and 6 cases treated with bisegments ZQS and 1 case treated with tetrasegments ZQS. ZQS were successfully implanted in 157 cases, with success rate of 97.5%, and failed in 4 cases, with failure rate of 2.5%. Reasons of failure were displacement and/or deployment inadequately of ZQS. Complications related with stent implantation was acute thrombosis after placement, which occurred in one patient. In the 3-60 months (mean 28.9 months) follow-up, re-stenosis appeared in 6 cases. Conclusion Implantation of home-made ZQS to treat BCS is a safe and effective method.
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