重症布-加综合征137例的治疗  

Management of Severe Budd-Chiari Syndrome (a report of 137 cases).

作　　者：李珂[1] 彭启平[1] 冯留顺[1] 马秀现[1] 赵永福[1] 叶学祥[1] 许培钦[1] 

机构地区：[1]郑州大学第一附属医院外科,450052

出　　处：《医学研究通讯》2004年第10期50-52,共3页Bulletin of Medical Research

摘　　要：目的探讨重症布-加综合征(BCS)的治疗方法。方法对1994年11月～2003年11月收治的137例重症BCS病人的临床资料进行回顾性分析。结果手术治疗111例,其中行肠腔静脉人工血管C型架桥吻合80例,脾静脉与右颈内静脉人工血管架桥吻合30例,肠系膜上静脉右颈内静脉人工血管架桥吻合1例;介入治疗14例,均行经皮肝肝静脉球囊导管扩张成形或(和)内支架放置;介入加常规手术12例,经皮腔下腔静脉球囊导管扩张成形及内支架放置后行肠腔人工血管C型架桥术。除手术死亡10例外,127例随访6个月～9年,效果优者92例(72.2%),良者35例(27.8%)。结论对重症布加综合征病人应依据病变类型行相应的治疗方法,多数病人可取得良好效果。Objective To investigate the treatment of severe Budd-Chiari syndrome (BCS).Methods The clinical data of 137 patients with severe BCS from November 1994 to November 2003 were retrospectively analyzed.Results Mesocaval C shunt with artificial graft was perforated in 80 cases,splenojugular shunt with artificial graft in 30 cases,mesojuglar shunt with artificial graft in 1 cases,percutaneous tran- shepatic recanalization and dilation and/or stent placement of main hepatic vein(MHV) in 14 case,and combined PTA and stent placement of inferior vena cava (IVC) and mesocaval shunt in 12 cases.5～108months follow up showed excellent result in 92 patients,good results in 35 and 10 cases dead.Conclusions Good results could be obtained by most of the severe BCS patients treated by different procedures according to pathological change of IVC and main hepatic vein.

关 键 词：重症 人工血管 吻合 治疗 病人 布-加综合征 颈内静脉 放置 成形 经皮 

分 类 号：R657[医药卫生—外科学] R735[医药卫生—临床医学]