肠系膜静脉血栓形成致肠坏死的临床分析  

Clinical analysis of intestinal infarction caused by mesenteric venous thrombosis

作　　者：杨用武 

机构地区：[1]湖北省监利县第一人民医院普外科,433300

出　　处：《腹部外科》2006年第5期287-288,共2页Journal of Abdominal Surgery

摘　　要：目的探讨肠系膜静脉血栓形成的诊治特点。方法回顾性分析我院1994年2005年间收治的肠系膜静脉血栓形成8例的临床资料。本组术前误诊率为100％，全部为术中确诊。手术方式均为坏死肠段切除＋小肠对端吻合。结果本组术后死亡1例，近期复发2例，出现明显短肠综合征3例。结论肠系膜静脉血栓形成临床误诊率相当高。其手术方式以坏死肠段切除为主。术中及术后抗凝治疗非常重要。Objective To study the diagnostic and therapeutic methods for mesenteric venous thrombosis（MVT）. Methods The clinical data of 8 cases of mesenteric venous thrombosis treated in our hospital between 1994 and 2005 were retrospectively analyzed. The preoperative misdiagnosis rate was 100%. All patients with MVT were finally diagnosed during operation and subjected to resection of the necrotic intestines plus end to end anastomosis of the small intestines. Results Postoperative death occurred in one case in this group, short-term recurrence in 2 cases and obvious short-bowel syndrome in 3 cases. Conclusion MVT had very high misdiagnosis rate, the surgical procedure was resection of the necrotic intestines,and the anticoagulation was very important during and after operations.

关 键 词：肠系膜静脉 静脉血栓形成 肠梗阻 

分 类 号：R657.2[医药卫生—外科学]