布-加综合征的外科治疗──附502例手术经验总结  

Surgical treatment of Budd-Chiari syndrome: experience in 502 cases

作　　者：许培钦[1] 叶学祥[1] 张水军[1] 冯留顺[1] 马秀现[1] 赵龙栓[1] 赵永福[1] 秦保明[1] 

机构地区：[1]河南医科大学一附院外科

出　　处：《普外临床》1997年第2期87-90,共4页

摘　　要：作者报告手术治疗布－加综合征５０２例的经验体会。其中Ⅰ型（隔膜型）２７４例，Ⅱ型（肝主静脉闭塞并ＩＶＣ狭窄）１２４例，Ⅲａ型５４例，Ⅲｂ型４８例，Ⅳ型２例。本组中采用隔膜切除术１７２例，脾肺固定术１５８例，球囊导管或手指破膜术４８例，腔－房或腔－腔转流术３４例，肠－房和脾－房转流术２３例，肠－腔分流４４例，腔－脾－房转流术２例，脾静脉－颈静脉转流术１６例，其他手术５例。２４８例（４９．４％）效果良好，１８２例症状改善（３６．３％），有效率８５．７％；１４例死亡（２．８％）。并对临床分型、术式选择、并发症的防治等作了讨论。Abstract:The authors classified their 502 cases of BuddChiari syndrome (BCS) into type Ⅰ(274 cases), type Ⅱ(124 cases), type Ⅲa (54 cases), Ⅲb, (48 cases), and type Ⅳ (2 cases). Membranectomy was performed in 172 cases, splenopneumopexy in 158 cases, balloon or finger membra fracture in 48 cases,shunt surgery in 119 cases, other surgery in 5 cases. Result was good in 284 cases (49.4%), fair in 182 cases (36. 3%)with a total efficacy of 85.7%, and mortality of 2. 8%(14 cases).

关 键 词：布-加综合征 外科手术 静脉造影术 

分 类 号：R657.340.5[医药卫生—外科学]