脾-颈内静脉架桥术治疗布加综合征:附21例报告  

Budd-Chiari syndrome treatment by splenic-jugular venous shunt:a report of 21 cases

作　　者：马万里[1] 孙嵩洛[1] 白建林[1] 丁端[1] 雍春花[1] 

机构地区：[1]河南大学附属淮河医院普外科,河南开封475001

出　　处：《中国普通外科杂志》2004年第8期568-570,共3页China Journal of General Surgery

摘　　要：目的　评价脾 -颈内静脉 (脾 -颈 )架桥术治疗布加氏综合征 (B CS)的临床疗效。方法　对行脾 -颈架桥术治疗的 2 1例B CS的临床资料进行回顾性分析。结果　架桥术后自由门静脉压 (FPP)较术前平均下降 0 .97kPa。全组无手术死亡。 2 0例随访 1～ 45个月 ,下肢静脉和腹壁静脉曲张于 1个月内基本消失 ,腹水 3个月内全部消失 ,下肢溃疡于 6个月内愈合。 17例彩色多普勒超声(CDFI)随访的患者间置血管内或吻合口处均无血栓形成。 12例钡餐检查显示食管静脉曲张基本消失。结论　对III型及部分II型B CS患者行脾 -颈架桥术安全、有效、创伤小 ,是目前治疗B CS的一种较好术式。Objective To evaluate the clinical effect of splenic internal jugular shunt for Budd Chiari Syndrome (BCS). Methods A retrospective analysis was made on the clinical data of 21 patients of BCS who underwent this operation. Results There was no death in 21 patients receiving this operation, The average post operative reduction of FPP was 0.97Kpa.2 suffered postoperative lung infection . Abdominal incision infection occurred in one patient. Tweenty cases were followed up for one month to forty five months. Lower extremity varicose veins and abdomen wall varicose veins basically disappeared a month postoperatively; ascites vanished completely 3 months postoperatively,and lower limb ulcer healed 6 months postoperatively. Seventeen patients followed by CDFI showed that no thrombus was found in their artificial vessel. Barium meal studies in 12 cases displayed that oesophageal varicose veins had basically disappeared during the follow up period. Conclusions Splenic jugular shunt bridged by artifical vessel is safe,effective and less traumatic for patients with type III and some patients with type II Budd Chiari syndrome. It is currently the best choice for treatment of BCS.

关 键 词：BUDD-CHIARI综合征 外科学 脾-颈内静脉架桥术 

分 类 号：R657.34[医药卫生—外科学]