摘要
对３７例病人采用深低温停循环或其它方法，在直视下施行多种根治矫正手术，其中３例加做内支架。作者认为在直视下施矫正术对清除腔静脉和肝静脉阻塞性病变更为彻底，必要时可自下腔静脉腔内作部分肝组织切除，以恢复肝静脉血流，实现门静脉的向肝性血流动力学，故在适当病例值得推荐。
Buddi-chiari syndrome is usually treated by various kinds of surgical procedures including various kinds of shunts between portal vein or inferior venae cava and right atrium, intralunminal balloon dilatation of the hepatic vein or inferior venae cava and techniques for promoting the collateral circulation. This paper evaluated the results of the radical corrective operations performed under deep hypothermia with circulatory arrest in 17 cases, normothermic extracorporeal circulation in 7 and without circulatory assist in 10 with intraluminal stent inserted in 3.The author stated corrective surgery under direct vision could be better achieved by resecting the obstructive lesions in the orifice of the hepatic veins or/and inside of the inferior venae cava more thoroughly.Direct vision also makes partial resection of the liver tissue possible so as to restore the hepatic and hepatopetal blood flow.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1995年第3期132-134,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
布一加综合征
下腔静脉阻塞
根治性矫正术
Budd-Chiari syudrome
Obstruction of inferior venae cava
Obstruction of hepatic vein
Extracorporeal circulation
Radical corrective surgery
