Membrane fabric - plus syndrome - intervention or surgery-.docVIP

 PAGE \* MERGEFORMAT 13 Membrane fabric - plus syndrome - intervention or surgery? Abstract: Objective To study the membrane budd-chiari syndrome (bcs), the evaluation of radiological intervention and radical resection of the lesion of membranous diaphragm bcs of the therapeutic effect. Methods May 1990 ~ December 1997 admitted to our hospital 342 cases of membranous bcs clinical data of patients retrospectively. The results of surgical treatment of 182 cases (of which 18 cases for the interventional treatment failure), at room temperature under direct vision using divide lesion excision; involved in 178 cases, using the inferior vena cava through the Bellows balloon angioplasty (pta) 156 cases, by the Bellows the inferior vena cava balloon angioplasty and percutaneous hepatic vein angioplasty in 22 cases, including 10 cases added by endovascular stent (stent) placement. Follow-up of 177 cases in the operation group, the total effective rate 89.8%, the recurrence rate of 10.2%; intervention group, the total efficiency of 81.0%, mortality rate 1.7% (3 cases), the recurrence rate of 19.0%, 11.2% failed to intervene. Conclusion Most patients with membranous bcs by pta or pta plus stent therapy can achieve good results in failure of the intervention, within the inferior vena cava thrombosis, recurrence after interventional treatment or within the inferior vena cava or thick oblique Patients should be selected films radical resection. May 1990 ~ December 1997, our hospital of 342 cases of membranous fabric - Chiari syndrome (budd-chiarisyndrome, bcs) conducted a diaphragm lesion resection under direct vision by Bellows inferior vena cava angioplasty or (and ) percutaneous hepatic vein angioplasty, the effect, the report is as follows. A clinical data 1.1 General Information 1.1.1 lesion under direct vision diaphragm resection group (surgical group) 182 cases, of which 18 cases involved failure or recurrence. 114 cases of