[1]郝红军,张兴仕,金鑫,等.支架联合125I粒子条植入治疗肝癌所致下腔静脉恶性梗阻20例[J].介入放射学杂志,2016,(06):538-542.
 HAO Hong-jun,ZHANG Xing-shi,JIN Xin,et al.Stenting combined with 125I seed strand implantation for the treatment of inferior vena cavamalignant obstruction caused by hepatocellular carcinoma [J].journal interventional radiology,2016,(06):538-542.
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支架联合125I粒子条植入治疗肝癌所致下腔静脉恶性梗阻20例 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年06期
页码:
538-542
栏目:
临床研究
出版日期:
2016-06-25

文章信息/Info

Title:
Stenting combined with 125I seed strand implantation for the treatment of inferior vena cavamalignant obstruction caused by hepatocellular carcinoma

作者:
郝红军张兴仕金鑫龚高全陈颐李长煜王小林刘清欣
Author(s):
HAO Hong-jun ZHANG Xing-shi JIN Xin GONG Gao-quan CHEN Yi LI Chang-yu WANG Xiao-lin LIU Qing-xin
Department of International Radiology, Affiliated Changzhou Tumor Hospital, Soochow University, Changzhou, Jiangsu Province 213032,China
关键词:
【关键词】下腔静脉 恶性梗阻 支架 125I 粒子条
文献标志码:
A
摘要:
【摘要】目的评估支架联合125I粒子条植入治疗下腔静脉(IVC)恶性梗阻的临床疗效。方法选取20例IVC恶性梗阻患者,行IVC支架联合125I 粒子条植入,术前术后分别对IVC梗阻长度、内径,右心房与梗阻段远端压差及患者临床梗阻症状积分进行统计分析。术后每2个月采用CT、彩色多普勒超声或者IVC造影对患者IVC通畅情况进行随访。结果20例患者共植入26枚支架及40根粒子条,手术均一次性获得成功,未发生与手术相关严重并发症。IVC梗阻长度为(6.82±2.21)cm,狭窄段内径由(0.50±0.27)cm扩张至(1.55±0.33)cm。右心房与梗阻远端压差由术前(16.28±1.26)mmHg降至术后(5.90±1.86)mmHg,患者临床梗阻症状积分由术前4~5分(中位值4分)下降至术后0~2分(中位值0分)。随访2~26个月,支架通畅率为90%。结论支架联合125I粒子条植入治疗下腔静脉恶性梗阻安全有效,为临床提供了一种新的姑息性治疗手段。


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备注/Memo

备注/Memo:
(收稿日期:2015-07-12)


(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-06-21