肠系膜上动脉压迫综合征的诊断和治疗  

Diagnosis and treatment of superior mesenteric artery syndrome.

作　　者：何裕隆[1] 陈汉彬 郑章清[1] 詹文华[1] 

机构地区：[1]中山大学第一医院普外科,广州510080 [2]广东省海丰彭湃纪念医院外科,516400

出　　处：《中国实用外科杂志》2002年第4期230-231,共2页Chinese Journal of Practical Surgery

摘　　要：目的　对肠系膜上动脉压迫综合征的病因、诊断和治疗进行分析和探讨。方法　收集 1970年 1月至2 0 0 0年 8月住院治疗 ,经X线钡餐检查或手术确认为肠系膜上动脉压迫综合征 77例。结果　保守治疗 38例 ,好转 31例 (81 6 %) ,未愈和未治 6例 ,死亡 1例。手术治疗 39例 ,痊愈 35例 (89 7%) ,好转 4例。结论　肠系膜上动脉压迫综合征的诊断除应具有上腹胀痛、呕吐等典型症状外 ,主要的确诊手段为X线钡餐造影 ;治疗上首先采用保守治疗 ,无效者再行手术治疗。术式选择以采用十二指肠空肠侧侧吻合术效果较为明显 (P <0 0 1)。Objective To analyze the etiology,diagnosis and treatment of superior mesenteric artery syndrome (SMAS).Methods From January 1970 to August 2000,77 cases of SMAS were admitted.The diagnosis was established through barium meal examination.The clinical data was collected and analyzed retrospectively.Results 38 cases underwent conservative treatment,of which 31 cases (81 6%) got clinical improvement,6 cases received no treatment and 1 died.39 cases underwent surgical treatment,of which 35 patients were healed,4 cases got improvement and curative rate was 89 7%.Conclusion The diagnosis of SMAS should mainly depend on barium meal examination except that the typical clinical manifestations such as epigastric distending pain and vomiting.Conservative treatment should be chosen primarily before surgical decision.Duodenojejunal side-to-side anastomosis is appropriate surgical procedure to deal with SMAS.

关 键 词：肠系膜上动脉压迫综合征 诊断 治疗 

分 类 号：R657.2[医药卫生—外科学]