| 介入和外科手术治疗布加综合征39例诊治体会 |
| |
| 引用本文： | 舒畅,罗明尧,姜晓华,李全明,黎明.介入和外科手术治疗布加综合征39例诊治体会[J].中国现代手术学杂志,2011,15(1):47-51. |
| |
| 作者姓名： | 舒畅 罗明尧 姜晓华 李全明 黎明 |
| |
| 作者单位： | 中南大学湘雅二医院血管外科,长沙,410011 |
| |
| 摘 要： | 目的总结介入治疗、根治术、转流减压术治疗布加综合征（Budd-Chiari syndrome,B-CS）的诊治经验。方法回顾性分析39例BCS患者的临床资料,其中行介入治疗15例,根治手术9例,转流手术15例。结果手术均一次性获得成功,围手术期死亡率0%,下腔静脉压力平均下降14.8（5～24）cmH2O。所有病例术后症状、体征不同程度消退。随访32例,13例基本恢复正常生活,11例可从事轻度体力劳动,8例不能从事体力劳动但生活可自理。1例胸腔积液反复出现,术后1年基本消失,遗留胸廓塌陷。1例根治术后复发,拒绝再次手术治疗,随后失访。结论介入治疗逐渐成为B-CS的首选术式,但根治术和转流术等外科术式也各有其适应证和不可替代性。临床工作中应根据病理类型和血流动力学变化特征,制定个体化的最佳手术方案。
|
| 关 键 词： | 肝静脉血栓形成 |
Interventional and Surgical Treatment of Budd-Chiari Syndrome: A Report of 39 Cases |
| |
| SHU Chang,LUO Ming-yao,JIANG Xiao-hua,LI Quan-ming,LI Ming.Interventional and Surgical Treatment of Budd-Chiari Syndrome: A Report of 39 Cases[J].Chinese Journal of Modern Operative Surgery,2011,15(1):47-51. |
| |
| Authors: | SHU Chang LUO Ming-yao JIANG Xiao-hua LI Quan-ming LI Ming |
| |
| Affiliation: | SHU Chang,LUO Ming-yao,JIANG Xiao-hua,LI Quan-ming,LI Ming(Department of Vascular Surgery,Second Xiangya Hospital,Central South University,Changsha 410011,Hunan,China) |
| |
| Abstract: | Objective To explore the indications and effects for interventional and surgical treatment of Budd-Chiari syndrome.Methods A retrospective analysis of the clinical data of 39 B-CS patients treated by interventional and surgical therapy has been carried out.Among these patients,percutaneous transinferior vena cava angioplasty was performed in 3 cases,inferior vena cava PTA with stent deployed in 12 cases,radical resection in 9 cases,shunt or bypass procedure in 15 cases.Results The immediate successful rate ... |
| |
| Keywords: | hepatic vein thrombosis |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
