至少有一条肝静脉未闭伴腹水的Budd - Chiari综合征患者下腔静脉和/或肝静脉成形术后肝脏体积的变化。

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY

Journal of Clinical and Experimental Hepatology Pub Date : 2024-12-11 DOI:10.1016/j.jceh.2024.102486

Tara P. Tripathy , Ranjan Patel , Srikant Behera , Brahmadatta Pattnaik , Tanmay Dutta , Sudipta Mohakud , Sunita Gupta , Adarsh K. Mohapatra , Debananda Sahoo , Suprava Naik , Hemant K. Nayak , Rashmi R. Mohanty , Manas K. Panigrahi

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引用次数: 0

摘要

目的：评价下腔静脉和/或肝静脉（IVC±HV）静脉成形术对存在腹水和至少一条肝静脉未闭的Budd - Chiari综合征（BCS）患者肝脏容量和功能的影响。方法：回顾性分析17例BCS患者（男6例，女11例，平均年龄42.3±11.9岁）在静脉成形术前后因静脉阻塞及至少1例未闭HV引起的腹水行静脉成形术的临床资料。在手术前和静脉成形术后3个月和6个月进行肝功能检查和腹部CT扫描。分析静脉成形术前后肝功能和肝容量的变化。结果：17例患者均成功行IVC±HV静脉成形术。中位随访期为6个月，所有患者均存活。与术前比较，术后3个月和6个月腹水和肝功能明显改善(P P结论：IVC±HV静脉成形术对BCS患者的临床效果满意。干预后，肝充血逐渐减少，肝功能改善，这与肝体积减少有关。

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The Change in Liver Volume After Inferior Vena Cava and/or Hepatic Vein Venoplasty in Patients With Budd Chiari Syndrome With at Least One Patent Hepatic Vein Presenting With Ascites

Objective

To assess the effects of inferior vena cava and/or hepatic vein (IVC±HV) venoplasty on liver volumetry and function in individuals with Budd Chiari syndrome (BCS) who present with ascites and at least one patent hepatic vein.

Methods

A retrospective analysis was conducted on the clinical data of 17 patients with BCS (6 males and 11 females, average age of 42.3 ± 11.9 years) who underwent IVC venoplasty for ascites caused by IVC blockage and at least one patent HV, either pre- or post-venoplasty. Liver function tests and abdominal CT scans were performed before the procedure and at three and six months post-venoplasty. The changes in liver function and volume before and after venoplasty were analyzed.

Results

Each of the 17 patients successfully underwent IVC±HV venoplasty. During the median follow-up period of six months, all patients survived. Comparisons with preoperative conditions showed significant improvements in ascites and liver function three and six months after the procedure (P < 0.05). The liver volumes measured before and at three- and six-months post-procedure were 2077.06 ± 185.53 cm³, 1742.00 ± 124.62 cm³, and 1632.71 ± 108.29 cm³, respectively. There was a significant decrease in liver volume between the pre-operative measurements and the three-month follow-up, as well as between the three-month and six-month follow-ups (P < 0.05).

Conclusions

IVC±HV venoplasty produced satisfactory clinical results in BCS patients. Following the intervention, there was a progressive decrease in hepatic congestion and an improvement in liver function which correlated with decrease in liver volume.

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