Interventional therapy for intractable cases of Budd- Chiari syndrome
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摘要: 介入治疗已成为布-加综合征首选治疗方法。回顾了布-加综合征的影像学诊断以及6种疑难类型,即肝静脉阻塞、下腔静脉长段闭塞、下腔静脉闭塞合并血栓形成、下腔静脉闭塞近心端盲端缺如或很短、广泛肝静脉闭塞和下腔静脉支架放置后阻塞肝静脉的诊治经验。介绍了此6种类型的介入治疗技术要点和注意事项。分析表明,只要充分评估病情,选择合理的治疗方案,将有助于提高疑难布-加综合征病例的介入治疗成功率,进一步提高我国布-加综合征的整体诊疗水平。
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关键词:
- Budd-Chiari综合征 /
- 放射学,介入性 /
- 诊断显像
Abstract: Interventional therapy has become the preferred treatment for Budd- Chiari syndrome ( BCS) . The radiological diagnosis of BCS and the experience in diagnosing and treating six types of intractable BCS, i. e., hepatic vein occlusion, long segmental occlusion of the inferior vena cava ( IVC) , occlusion of the IVC combined with thrombosis, absence or shortness of the proximal part of IVC, extensive hepatic vein occlusion, and hepatic vein occlusion caused by IVC stent placement, are reviewed. The technical points and notes of interventional therapy for the six types of BCS are presented. Analysis shows that adequate evaluation of patient's condition and proper selection of treatment regimens can help to increase the success rate of interventional therapy for intractable cases of BCS and further improve the overall level of diagnosis and treatment of BCS in China.-
Key words:
- Budd-Chiari syndrome /
- radiology interventional /
- diagnostic imaging
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