首页|Budd-Chiari syndrome：搅拌溶栓治疗下腔静脉内新鲜血栓形成--附8年随访结果

Budd-Chiari syndrome：搅拌溶栓治疗下腔静脉内新鲜血栓形成--附8年随访结果

Budd-Chiari syndrome:agitating thrombolysis for Budd-Chiari Syndrome complicated with IVC fresh thrombosis-eight years fellow-up results

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目的：探讨搅拌溶栓技术在布加综合征合并下腔静脉内新鲜血栓形成中的治疗价值及长期随访结果。方法：收集：2004年8月～2012年12月布加综合征合并下腔静脉内新鲜血栓形成9例，首先经股静脉途径行下腔静脉造影，开通下腔静脉建立上腔静脉与下腔静脉导丝通路，随后对血栓进行搅拌溶栓溶解血栓，血栓完全消失后行血管腔内球囊扩张成形，完全开通下腔静脉。术后采用彩超随访，第一年内每隔3月随访一次，而后每隔6月随访一次，评价下腔静脉通畅情况。结果：9例布加综合征合并下腔静脉内新鲜血栓形成患者均为下腔静脉膜性阻塞，采用搅拌溶栓后血栓均完全消失，球囊扩张成形后均未出现肺栓塞症状。术后随访下腔静脉血流通畅，无血栓再次形成，无一例下腔静脉再阻塞。结论：搅拌溶栓技术可用于治疗布加综合征合并下腔静脉内新鲜血栓，能一次性完成整体治疗，安全有效；布加综合征合并下腔静脉内新鲜血栓形成得到及时治疗后未能增加患者的复发率。
Objective:To evaluate the therapeutic efficacy of agitating thrombolysis for Budd-Chiari Syndrome complicated with IVC fresh thrombosis and the fel ow-up result. Methods:From August 2004 to September 2012,nine BCS patients(seven male and two female subjects, age range 36-64 years) with IVC fresh thrombosis were treated with agitating thrombolysis. Firstly inferior vena cava were recanalized after inferior venacavography, then Agitating thrombolytic therapy, lastly dilated of IVC with percutaneous transluminal bal oon. Clinical fol ow-up was supplemented with colour Doppler sonography.Results:After al thrombi completely disappeared soon after agitating thrombolysis without pulmonary embolism after inferior vena cava Angioplasty. Al IVC kept patency after fel ow-up 51.1 months by Color Doppler Ultrasound. Conclusion:Agitating thrombolysis Treatment was a safe and effective treatment modality for patients with BCS with IVC fresh thrombosis, and the recurrence rate were not increased.

Budd-Chiari syndromeInferior vena cavaThrombosisInterventional radiology

林锐、丁鹏绪、韩新巍、李震、付明倜

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郑州大学介入治疗研究所 河南 郑州 450052

郑州大学第一附属医院放射科 河南 郑州 450052

布加综合征 下腔静脉 血栓 介入放射学

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN：1004-7484
年,卷(期)：2013.(5)
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