下腔静脉－右心房，肠系膜上静脉－右心房转流术治疗布－查综合征  

Cavoatrial and mensoatrial bypass for Budd-Chiari syndrome with a polytetrafluorothylene

作　　者：孙耀昌[1] 答作为[1] 万国泰[1] 徐志飞[1] 李建秋[1] 

机构地区：[1]第二军医大学长征医院胸外科

出　　处：《第二军医大学学报》1995年第3期238-240,共3页Academic Journal of Second Military Medical University

摘　　要：８例布－查综合征患者采用聚四氟乙烯人造血管移植施行了下腔静脉－右心房，肠系膜上静脉－右心房转流术。患者均有下肢肿胀、静脉曲张、腹水等典型的布－查综合征症状；４例伴有上消化管出血。８例均做了下腔静脉造影，显示下腔静脉缩窄或闭塞；其中４例伴有肝静脉阻塞。３例Ｃ型病变者，经胸腹正中切口施行了肠系膜上静脉－右心房转流术；５例采用后外侧切口或胸腹正中切口施行了下腔静脉－右心房转流术。术后超声多普勒检查或下腔静脉造影显示旁路移植血管通畅。随访１３～８４个月。Eight patients with Budd-Chiari syndrome underwent cavoatrial or mensoatrial bypass using externally supported polytetrafluoroethylene graft. All patients had classic features of Budd-Chiari syndrome, namely pedal edema, varicose veins, ascites, and prominent abdominal veins. Four patients had bleeding of the upper digestive tract. All underwent inferior vena cavography, which showed coarctation or obliteration of the IVC and four patients an occlusion of the hepatic vein simultaneously. Three patients with C type Budd-Chiair syndrome was performed the mesoatrial shunt with a single thoracoabdominal incision, incorporating a median sternotomy. Five patients were performed cavoatrial shunt with posterolateral thoracotomy or thoracoabdominal median incisions. All shunts have remained patent, as determined by Doppler flow studies or by inferior vena cavography, during following-up periods ranging from 12～84 months.

关 键 词：下腔静脉 心房转流术 肠系膜上静脉 布-查综合征 

分 类 号：R657.340.5[医药卫生—外科学]