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目的研究介入治疗肝癌所致下腔静脉梗阻的疗效及方法学。材料和方法患者6例,男4例,女2例,年龄45-58岁,平均52.6岁。临床主要症状有腹胀、腹壁静脉曲张和下肢浮肿等。全部病例均为肝右叶病变压迫侵蚀下腔静脉所致的狭窄阻塞。治疗方法采用先溶栓,而后球囊扩张和内支架植入。结果6例患者狭窄阻塞的下腔静脉均开通成功,下腔静脉血流通畅,压力由术前的40Kpa(1Kpa=7.5mmHg)降至2.1Kpa,无严重并发症发生。结论采用介入方法开通由于肝癌所引起的下腔静脉狭窄阻塞,疗效肯定,可提高患者的生活质量,延长患者的生存时间。
Objective To study the curative effect and methodology of interventional treatment of inferior vena cava obstruction caused by liver cancer. Materials and Methods 6 patients, 4 males and 2 females, aged 45-58 years, mean 52.6 years old. Clinical main symptoms are bloating, abdominal varicose veins and lower extremity edema. All cases were caused by narrowing of the inferior vena cava caused by oppression and erosion of the right lobe of the liver. Treatment of thrombolysis first, and then balloon dilatation and stent implantation. Results All the 6 patients had successful occlusion of the inferior vena cava. The blood flow of the inferior vena cava was relieved. The pressure was reduced from preoperative 40Kpa (1Kpa = 7.5mmHg) to 2.1Kpa without serious complication. Conclusion The interventional method to open due to liver cancer caused by narrowing of the inferior vena cava and curative effect can improve the quality of life of patients and prolong the survival time of patients.