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目的探讨下腔静脉广泛新鲜血栓形成Budd-Chiari综合征的综合介入治疗的价值。方法15例Budd-Chiari综合征合并下腔静脉广泛新鲜血栓形成患者,综合采取包括大腔导管血栓抽吸、球囊导管扩张、腔静脉临时滤器植入、静脉内插管溶栓以及内支架植入等综合介入治疗。结果经7~10 d的系统治疗,所有病例症状体征消失,下腔静脉完全再通,未出现肺栓塞、出血等严重并发症。结论采取综合介入方法治疗下腔静脉广泛新鲜血栓形成Budd-Chiari综合征疗效确切、安全。
Objective To investigate the value of comprehensive interventional treatment of Budd-Chiari syndrome with extensive thrombosis of the inferior vena cava. Methods Fifteen patients with Budd-Chiari syndrome complicated with extensive thrombosis of IVC were enrolled in this study. They included thoracotomy with large-lumen catheter, balloon catheter expansion, temporary vena cava filter implantation, intravenous catheterization and stent implantation Into the comprehensive interventional therapy. Results After 7 to 10 days of treatment, symptoms and signs disappeared in all cases, and the IVC was completely recanalized. There were no serious complications such as pulmonary embolism and hemorrhage. Conclusion The comprehensive interventional method for the treatment of extensive thrombosis of the inferior vena cava Budd-Chiari syndrome is effective and safe.