肠系膜静脉血栓的介入治疗  

Interventional therapy of mesenteric venous thrombosis

作　　者：李选[1] 欧阳强[1] 萧湘生[1] 

机构地区：[1]第二军医大学长征医院放射科,上海北京大学第三医院放射科200003

出　　处：《介入放射学杂志》2006年第4期202-205,共4页Journal of Interventional Radiology

摘　　要：目的评价介入治疗肠系膜静脉血栓所致肠缺血的临床疗效。方法经皮经肝(或经颈静脉经肝)肠系膜静脉取栓、溶栓联合经肠系膜上动脉灌注罂粟碱治疗肠系膜静脉血栓12例。结果12例患者7例痊愈;5例有效(3例手术;2例死于其他疾病)。随访期内(30d)10例存活;2例死亡。无一例发生严重合并症。结论经皮经肝(或经颈静脉经肝)肠系膜静脉取栓联合经肠系膜上动脉灌注罂粟碱治疗肠系膜静脉血栓安全有效;可降低该病病死率。Objective To evaluate the clinical effect of interventional therapy in treating intestinal ischemia of mesenterie venous thrombosis. Methods Twelve cases （male 7 cases, female 5 cases; ranging from 33 to 86 years of age） of mesenteric venous thrombosis（MVT） were treated with percutaneous transhepatic mesenteric venous thrombectomy and thrombolysis associated with papaverin perfusion via superior mesenteric artery. Results Seven of the 12 cases recovered; 3 cases were undertaken laparotomy; 2 died within 30 days respectively. No severe complications occurred in all of the 12 cases. Conclusions Interventional therapy of MVT is a safe and effective method with reduction of the mortality.

关 键 词：血栓切除术 经皮的 静脉 肠系膜上静脉 血栓 

分 类 号：R572[医药卫生—消化系统]