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笔者报告9例在经皮腔内血管成形术(PTA)基础上置入自展式血管内支架(stent)治疗 Budd-Chiari syndrome(BCS)的研究结果。下腔静脉支架7例,副肝右静脉支架1例,下腔静脉及肝左静脉双支架1例。下腔静脉平均压力术前为3.54±0.91kPa(1mmH_2o=0.098kPa),术后即刻降为2.025±0.98kPa,术后随访1～8个月(平均2.6个月),下腔静脉保持通畅,支架扩张良好,无移位。主要临床症状和体征消失者7例,明显改善者2例,无严重并发症发生。笔者还讨论了 BCS 内支架置入的适应症和副肝右静脉肝左静脉置入支架的临床意义。
The authors report 9 cases of Budd-Chiari syndrome (BCS) treated with self-expanding stent based on percutaneous transluminal angioplasty (PTA). 7 cases of inferior vena cava stent, 1 case of accessory hepatic right ventricle stent, 1 case of inferior vena cava and left hepatic vein double stent. The mean pressure of inferior vena cava was 3.54 ± 0.91kPa (1mmH_2o = 0.098kPa) preoperatively and then decreased to 2.025 ± 0.98kPa immediately after operation. The follow-up was from 1 to 8 months (average 2.6 months) Stents expand well without displacement. The main clinical symptoms and signs disappeared in 7 cases, 2 cases were significantly improved, no serious complications. The author also discussed the indications of stent placement in BCS and the clinical significance of placement of the left hepatic vein in the right accessory hepatic vein into the stent.