介入加手术治疗重症布加综合征  

Treatment for severe Budd-Chiari syndrome with balloon dilatation and operation

作　　者：孟庆义[1] 田利民[1] 刘桂芝 马波民 田志英 程前进 

机构地区：[1]山东省单县中心医院血管外科研究室,274300

出　　处：《中华普通外科杂志》1998年第5期271-272,共2页Chinese Journal of General Surgery

摘　　要：目的总结因节段性下腔静脉阻塞井弥漫性肝静脉闭塞引起的重症布加综合征的治疗方法。方法在介入引导下行球囊导管扩张内支架术,1～2周后附加门奇断流、肠腔静脉反"C"型搭桥术。结果本组共10例,无手术死亡,无肝性脑病发生。介入术后下腔静脉压力平均下降1.91kPa。手术后门静脉压力平均下降2.60 kPa。随访1～3.8年,未见复发,均恢复轻体力劳动。结论介入加手术的方法创伤小、恢复快、疗效可靠,为治疗重症布加综合征,提供了—条可行性治疗途径。Objective To evaluate our experience in the management of 10 severe Budd-Chiari syndrome cases caused by segmental inferior vena cava and diffuse hepatic veins obliteration.Method Ten patients underwent balloon dilatation and stent added by portaazygous devascularization or C-type mesocaval shunt.Result There was no operative mortali- ty,and no hepatic enophalopathy occured.After the treatment,the decrease of the inferior vena cava pressure aver- aged 1.91 kPa.the descent of the portal venous pressure averaged 2.60 kPa.Followed-up of 1 to 3.8 years found no recurrence.Conclusion It provided a practicable way for treating this type of BCS because of the less trauma, quick recovery and reliable curative effect.

关 键 词：布-加综合症 介入疗法 外科手术 门脉高压症 

分 类 号：R657.340.5[医药卫生—外科学]