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目的报告２４例Ｂｕｄｄ－Ｃｈｉａｒｉ综合征（ＢＣＳ）的介入治疗结果。方法在Ｘ线电视透视下，采用经皮血管成形术（ＰＴＡ）及血管内支架（ｓｔｅｎｔ）置入治疗下腔静脉和（或）肝静脉阻塞；下腔静脉支架２０例，副肝静脉支架１例，下腔静脉和肝左静脉双支架３例。结果２４例２７支血管皆一次性开通及支架置入获得成功。下腔静脉平均压力术前为３．５４±０．９１ｋＰａ，术后即刻降为２．０２±０．９８ｋＰａ。１例副肝静脉术前压力为３．２２ｋＰａ，术后即刻降为２．０６ｋＰａ。３例肝左静脉压力术前平均为６．１７±０．８２ｋＰａ，术后降为２．３５±０．８６ｋＰａ。术后随访平均４．６个月（１～１４个月），下腔静脉保持通畅，支架扩张良好，无移位。主要临床症状及体征消失者２１例，明显改善者３例，无严重并发症发生。结论介入治疗ＢＣＳ是一种安全有效的方法。在３支主肝静脉严重阻塞时，开通副肝静脉是治疗肝静脉型ＢＣＳ的有效途径。
Objective To report the results of interventional therapy in 24 patients with Budd-Chiari syndrome (BCS). Methods Percutaneous transluminal angioplasty (PTA) and stent implantation were used to treat the inferior vena cava and / or hepatic vein occlusion under X-ray fluoroscopy. 20 cases of inferior vena cava stent and 1 case of accessory hepatic vein stent 1 Cases, inferior vena cava and left hepatic vein double stent in 3 cases. Results All 24 vessels and 27 vessels were successfully opened and stents were inserted successfully. The mean pressure of IVC was 3.54 ± 0.91kPa before surgery, and it decreased to 2.02 ± 0.98kPa immediately after operation. 1 case of accessory hepatic vein pressure before surgery was 3.22kPa, immediately after the drop to 2.06kPa. The mean preoperative left hepatic venous pressure was 6.17 ± 0.82 kPa and decreased to 2.35 ± 0.86 kPa postoperatively. The patients were followed up for an average of 4.6 months (range, 1 to 14 months). The inferior vena cava was kept open and the stent was well expanded without displacement. The main clinical symptoms and signs disappeared in 21 cases, 3 cases were significantly improved, no serious complications. Conclusion Interventional treatment of BCS is a safe and effective method. In the three major hepatic veins serious obstruction, the opening of the hepatic vein hepatic vein type is an effective way to treat BCS.