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目的 :探讨不同类型Budd Chiari综合征 (BCS)的介入治疗方法 ,评价经皮穿刺血管腔内成形术 (PTA)和血管内支架 (EMS)治疗BCS的价值。方法 :BCS 6 9例采用经股静脉或颈静脉行下腔静脉 (IVC)穿通破膜 ,下腔静脉和 (或 )肝静脉PTA和 (或 )EMS ,经皮经肝和经颈静脉行肝静脉成形术。结果 :介入治疗BCS成功率 95.6 % ,治疗后患者肝脏变软 ,腹水吸收 ,IVC压力由术前 (3.4 7± 0 .6 )kPa降至术后 (1.6 ±0 .56 )kPa。结论 :PTA和EMS治疗BCS安全有效 ,在一定程度上可替代外科治疗
Objective: To investigate the interventional treatment of different types of Budd Chiari syndrome (BCS) and evaluate the value of percutaneous transluminal angioplasty (PTA) and endovascular stent (EMS) in the treatment of BCS. Methods: Sixty-nine BCS patients underwent transvaginal, IVC and / or hepatic vein PTA and / or EMS via inferior femoral vein (IVC) via femoral vein or jugular vein, percutaneous transhepatic and transjugular Angioplasty. Results: The success rate of interventional BCS was 95.6%. After treatment, the liver became soft and the ascites was absorbed. The IVC pressure decreased from (3.4 7 ± 0.6) kPa before operation to (1.6 ± 0.56) kPa after operation. Conclusion: PTA and EMS are safe and effective in the treatment of BCS, which can replace surgical treatment to a certain extent