李枫,王峰,纪东华,王凝芳,刘永晟,李城.布-加综合征的影像诊断及综合介入治疗[J].中国医学影像技术,2008,24(s1):192~194 |
布-加综合征的影像诊断及综合介入治疗 |
Imaging diagnosis and combined interventional therapy of Budd-Chiari syndrome |
投稿时间:2008-01-22 修订日期:2008-07-29 |
DOI: |
中文关键词: 诊断显像 布加综合征 数字减影血管造影 经颈静脉肝内门体分流术 超声检查 |
英文关键词:Diagnostic imaging Budd-Chiari syndrome DSA TIPSS Ultrasonography |
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中文摘要: |
目的 回顾性分析31例门诊疑诊为布加综合征患者的诊疗过程,探讨布加综合征的影像学诊断方法及影响介入疗效的因素。方法 31例门诊疑诊为布加综合征的患者行DSA,17例证实为布加综合征,其中16例行介入治疗。结果 16例行介入治疗的病人技术上均获成功。治疗采用单纯球囊扩张7例,放置下腔静脉支架4例(5枚),放置肝静脉支架1例,下腔静脉支架结合下腔静脉滤器1例,单纯溶栓1例,行TIPSS术2例。术后30天症状明显改善13例,无变化1例,死亡2例。结论 超声 |
英文摘要: |
Objective To explore the imaging diagnosis methods and impacting factors of interventional therapy in Budd-Chiari syndrome, we retrospectively reviewed the diagnosis and therapy course of 31 outpatients who were suspected suffering Budd-Chiari syndrome. Methods Thirty-one outpatients who were diagnosed as Budd-Chiari syndrome underwent DSA. Seventeen cases were verified as Budd-Chiari syndrome and 16 of them underwent interventional therapy. Results Sixteen cases who were underwent interventional therapy were succeed in technology. Seven cases were treated with single balloon dilation, 5 stents were deployed in inferior vena cava in 4 cases, 1 case was deployed hepatic vein stents, 1 case were combined stent and filter in inferior vena cava, 1 case were underwent thrombolysis, 2 cases were underwent TIPSS. Within 30 days, clinical symptoms improved significantly in 13 cases, no change was observed in 1 case, and 2 cases died. Conclusion US is screening method of Budd-Chiari syndrome, the final diagnosis needs DSA angiography. Vena cava restruction was main factor impacting interventional therapy effect. |
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