目的:探讨支架置入术治疗原发性肝癌并下腔静脉阻塞的近期疗效.方法:回顾性分析对30例因原发性肝癌并下腔静脉阻塞行介入治疗的患者资料.其中24例仅行下腔静脉支架置人术.4例行下腔静脉及右心房联合支架置入术.2例行下腔静脉及肝静脉联合支架置入术.观察其近期疗效.并对其进行评价分析.结果:30例患者支架置入术均成功.未发现有任何严重手术并发症.术后患者Child-Push分级及临床症状较术前明显改善(P<0.05).结论:支架置入术治疗肝癌并发下腔静脉阻塞的短期疗效显著.可使患者获得进一步积极治疗的机会.%Objective:The purpose of this study was to evaluate short-term therapeutic efficacy of stent placement in heparocellular carcinoma ( HCC) associated with inferior vena cava obstruction. Methods: A retrospective analysis was conducted of 30 patients who sufferd from HCC accompanied with inferior vena cava obstruction and received interventional therapy. Twenty-four ptients were merely treated with inferior vena cava stent placement, 4 patients underwent inferior vena cava and right atrium conbined stent placement, and 2 patients underwent inferior vena cava and hepatic vein conbined stent placement. Technical success. complication and short-term response to treatment. including Child-Pugh classification and clinical symptoms, were observed. Results : Stent placement was successfully performed in thirty patients. No complications occurred in these patients. There were significant improvement in Child-Pugh classification and clinical symptoms before and after stent placement ( P ＜0. 05). Conclusion: Stcnt placement had significant short-term effects on HCC accompanied with inferior vena cava.obstruction, by which some parients were able to be given the opportunity for further aggressive treatment.
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