肠系膜静脉血栓形成13例临床分析  

Clinical analysis of mesenteric venous thrombosis

作　　者：周志球[1] 邓伟均[1] 

机构地区：[1]广东省东莞市石龙人民医院普外科,523321

出　　处：《腹部外科》2006年第3期162-163,共2页Journal of Abdominal Surgery

摘　　要：目的探讨肠系膜上静脉血栓形成(MesentericVenousThrombosis,MVT)的早期诊断及治疗,以减少并发症发生。方法对13例MVT病人的临床特点、诊断及治疗方法进行分析。结果全部手术治疗,术后均病理确诊为MVT。术前4例CT检查明确诊断,9例误诊。11例治愈,2例死亡。结论该病早期症状和体征无特异性,不易确诊,CT分辩率高,有早期诊断价值。一旦确诊,主张早期手术治疗,切除坏死肠段及栓塞肠系膜,术后抗凝治疗是降低病死率及预防复发的重要手段。Objective To study the early diagnosis and treatment of mesenteric venous thrombosis （MVT） to reduce the occurrence of complications. Methods The clinical features and treatment of 13 cases of MVT were analyzed. Results The patients were all operated on and the diagnosis was confirmed pathologically. Four cases were corrected diagnosed by CT and misdiagnosis occurred in 9 cases. Eleven cases were cured and 2 died. Conclusion The early systems and signs of MVT are not specific. MVT is difficult to be diagnosed. CT with high resolution is of early diagnostic value. Once diagnosis, it is necessary to perform surgical treatment to resect the necrotic bowel and embolic mesentery. Postoperative anticoagulant therapy is the key measure to reduce the mortality and recurrence.

关 键 词：肠系膜静脉 血栓形成 诊断 

分 类 号：R657.2[医药卫生—外科学]