中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

布-加综合征疑难病例的介入治疗

徐浩

引用本文:
Citation:

布-加综合征疑难病例的介入治疗

DOI: 10.3969/j.issn.1001-5256.2013.10.007
详细信息
  • 中图分类号: R575

Interventional therapy for intractable cases of Budd- Chiari syndrome

  • 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。

     

  • [1]DELEVE LD, VALLA DC, GARCIA-TSAO G.Vascular disorders of the liver[J].Hepatology, 2009, 49 (5) :1729-1764.
    [2] LU X, XU K, LI SD, et al.A comparative analysis of enhanced high-field MR imaging and multi-slice spiral CT in the diagnosis of Budd—Chiari syndrome[J].J Pract Radiol, 2010, 26 (7) :986-989. (in Chinese) 路欣, 徐凯, 李绍东, 等.Budd-Chiari综合征高场强MRI与螺旋CT成像的对照分析[J].实用放射学杂志, 2010, 26 (7) :986-989.
    [3]WANG L, LU JP, WANG F, et al.Diagnosis of Budd-Chiari syndrome:three-dimensional dynamic contrast enhanced magnetic resonance angiography[J].Abdom Imaging, 2011, 36 (4) :399-406.
    [4]BUCKLEY O, O'BRIEN J, SNOW A, et al.Imaging of Budd-Chiari syndrome[J].Eur Radiol, 2007, 17 (8) :2071-2078.
    [5]XU H, ZU MH, LI GJ, et al.Interventional therapy of Budd-Chiari syndrome with hepatic vein obstruction[J].Chin J Med Imaging Technol, 2004, 20 (10) :1588-1591. (in Chinese) 徐浩, 祖茂衡, 李国均, 等.肝静脉阻塞性Budd-Chiari综合征的介入治疗[J].中国医学影像技术, 2004, 20 (10) :1588-1591.
    [6]ZHOU WM, WU HR, LI XQ, et al.Endovascular treatment of segmental occlusive Budd-Chiari syndrome[J].Chin J Gen Surg, 2009, 24 (7) :561-563. (in Chinese) 周为民, 吴浩荣, 李晓强, 等.节段闭塞性布加综合征的腔内治疗[J].中华普通外科杂志, 2009, 24 (7) :561-563.
    [7]ZHANG Y, LIU LF, GUAN YF, et al.Comparative study on accessory hepatic veins by ultrasound and spinal CT in healthy adults[J].Chin J Med Imaging Technol, 2006, 22 (11) :1714-1716. (in Chinese) 张彦, 刘兰芬, 管一帆, 等.健康成人副肝静脉的超声及螺旋CT对比研究[J].中国医学影像技术, 2006, 22 (11) :1714-1716.
    [8]GU YM, ZU MH, XU H, et al.Budd-Chiari syndrome:accessory hepatic vein PTA and stent[J].Chin J Radiol, 2003, 37 (1) :29-32. (in Chinese) 顾玉明, 祖茂衡, 徐浩, 等.副肝静脉成形术在Budd-Chiari综合征治疗中的应用[J].中华放射学杂志, 2003, 37 (1) :29-32.
    [9]LI TX.BAI WX, WANG ZL, et al.Clinical study on percutaneous transhepatic angioplasty of hepatic veins in the treatment of BuddChiari syndrome with occlusion of hepatic veins[J].J Intervent Radiol, 2008, 17 (4) :234-238. (in Chinese) 李天晓, 白卫星, 王子亮, 等.经皮经肝肝静脉成形术治疗肝静脉阻塞型Budd-Chiari综合征[J].介入放射学杂志, 2008, 17 (4) :234-238.
    [10]ZU MH, XU H, GU YM, et al.Interventional treatment of BuddChiari syndrome:guide wire penetrating angioplasty of inferior vena cava and hepatic vein[J].J Intervent Radiol, 2006, 15 (9) :521-523. (in Chinese) 祖茂衡, 徐浩, 顾玉明, 等.布-加综合征介入治疗——导丝贯穿法行下腔静脉和肝静脉成形术[J].介入放射学杂志, 2006, 15 (9) :521-523.
    [11]XU H, ZU MH, GU YM.Interventional therapy of Budd-Chiari syndrome complicated with thrombosis[J].Chin J Radiol, 2001, 35 (1) :24-27. (in Chinese) 徐浩, 祖茂衡, 顾玉明.Budd-Chiari综合征合并血栓形成的介入治疗[J].中华放射学杂志, 2001, 35 (1) :24-27.
    [12]ZHANG QQ, ZU MH, XU H, et al.Clinical evaluation of interventional treatment for Budd-Chiari syndrome with hepatic vein thrombosis[J].Chin J Radiol, 2011, 45 (7) :666-669. (in Chinese) 张庆桥, 祖茂衡, 徐浩, 等.布加综合征合并肝静脉血栓介入治疗的疗效观察[J].中华放射学杂志, 2011, 45 (7) :666-669.
    [13] RUI QF, LI XQ, SUN ZY, et al.Comprehensive treatment of Budd-Chiari syndrome with inferior vena cava thrombosis[J].Chin J Gen Surg, 2012, 27 (12) :1024-1025. (in Chinese) 芮清峰, 李晓强, 孙振阳, 等.布加综合征合并下腔静脉血栓的综合治疗[J].中华普通外科杂志, 2012, 27 (12) :1024-1025.
    [14]Chinese Medical Association Chinese Society of Radiology (CSR) Interventional Group.Guidelines of the interventional treatment for Budd-Chiari syndrome[J].Chin J Radiol, 2010, 44 (4) :345-349. (in Chinese) 中华医学会放射学分会介入学组.布加综合征介入诊疗规范的专家共识[J].中华放射学杂志, 2010, 44 (4) :345-349.
    [15]WEI N, ZU MH, XU H, et al.Clinical research of the obstructive interface morphology of the inferior vena cava and the method of choice for taking the“pierce membrane”[J].J Intervent Radiol, 2008, 17 (4) :247-250. (in Chinese) 魏宁, 祖茂衡, 徐浩, 等.下腔静脉阻塞端形态和破膜方法选择的临床研究[J].介入放射学杂志, 2008, 17 (4) :247-250.
    [16]SHAN H, GUAN SH, JIANG ZB, et al.Extensive techniques of TIPS in Budd-Chiari syndrome with occlusive hepatic veins[J].Chin J Radiol, 2002, 36 (9) :787-791. (in Chinese) 单鸿, 关守海, 姜在波, 等.改良式经颈静脉肝内门腔静脉分流术治疗肝静脉闭塞型Budd-Chiari综合征[J].中华放射学杂志, 2002, 36 (9) :787-791.
    [17]WU XJ, CAO JM, HAN JM, et al.Transjugular intrahepatic portosystemic shunt in the treatment of Budd-Chiari syndrome with extensive occlusion of the hepatic veins[J].Chin J Surg, 2006, 44 (15) :1029-1032. (in Chinese) 吴性江, 曹建民, 韩建明, 等.经颈内静脉肝内门体分流术治疗肝静脉广泛闭塞型布加综合征[J].中华外科杂志, 2006, 44 (15) :1029-1032.
    [18]XU H, ZU MH, GU YM, et al.Clinical application of hepatic vein percutaneous transluminal angioplasty and stent after stent placement in inferior vena cava[J].Chin J Radiol, 2005, 39 (12) :1316-1319. (in Chinese) 徐浩, 祖茂衡, 顾玉明, 等.下腔静脉支架置入后肝静脉成形术的临床应用[J].中华放射学杂志, 2005, 39 (12) :1316-1319.
  • 加载中
计量
  • 文章访问数:  3005
  • HTML全文浏览量:  30
  • PDF下载量:  612
  • 被引次数: 0
出版历程
  • 收稿日期:  2013-08-15
  • 出版日期:  2013-10-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回