上腔静脉综合征的外科治疗  

Surgical treatment of superior vena cava syndrome:report of 13 cases

作　　者：柯立[1] 范军[1] 徐美清[1] 马冬春[1] 魏大中[1] 朱晓枫[1] 田界勇[1] 

机构地区：[1]安徽医科大学附属省立医院胸外科,合肥230001

出　　处：《安徽医科大学学报》2008年第3期330-333,共4页Acta Universitatis Medicinalis Anhui

摘　　要：目的探讨上腔静脉综合征(SVCS)的手术方法,总结外科诊治经验。方法手术治疗13例上腔静脉综合征患者,其中肺癌6例,恶性纵隔肿瘤6例,SVCS狭窄1例。11例采用人工血管置换上腔静脉或补片扩大;2例采用人工血管转流。结果全组患者无手术死亡,术后上腔静脉梗阻症状均明显改善。1例术后人造血管血栓形成,经溶栓治疗后痊愈。全组患者术后存活时间为6～30个月。结论上腔静脉综合征采用原发病灶切除加人造血管置换手术治疗能够在短期内显著缓解临床症状,提高生存质量,效果确切。Objective To analyze and evaluate the surgical method of superior vena cava syndrome,summarize the experience of diagnosis and surgical treatment. Methods 13 patients with superior vena cava syndrome （SVCS） underwent surgical intervention. Among them locally advanced lung cancer in 6 cases, malignant thymoma in 3, sem- inoma in 1, Hodgkin lymphoma in 1, metastatic squama cancer in and angusty of superior vena cava in 1. Replacement of the SVC were performed in 1 cases, bypass with artificial vascular was performed in 2. Results All the cases had no intraoperative death, the symptoms of obstruction of SVC were improved obviously after operation. Thrombosis happened with the artificial vascular in 1 case, the patient was cured by thrombolysis treatment. Life span was from 6 to 30 months. Conclusion Resection of the focus of infection and SVC reconstruction can obviously improve the quality of life and increase the survival time, and the effect is affirmative.

关 键 词：上腔静脉综合征/外科学 

分 类 号：R543.605[医药卫生—心血管疾病] R655[医药卫生—内科学]