摘要
目的 探讨布 加综合征更为有效的手术方式。方法 采用腔静脉 腔静脉人工血管转流术对 32例节段闭塞型布 加综合征病人进行手术治疗。结果 围手术期死亡 2例 ,病死率 6 %。对 30例病人术后随访 6～ 30个月 ,随访率 94% ,效果优者 2 6例 (81% ) ,病人临床无症状 ,腹水、胸腹壁曲张静脉及下肢肿胀消失 ,肝右肋下不能触及 ;良好者 3例 (10 % ) ,胸腹壁曲张静脉基本消失 ,肝脏缩小 ;1例效果欠佳。结论 本术式与腔静脉 右心房转流术相比具有人工血管短、创伤小 ,疗效确切的优点 ,并且可避免心包炎的发生 ,是治疗节段闭塞型布 加综合征较为有效的方式。
Objective[WT5”BZ] To evaluate the effectiveness of inferior cavocaval shunt for the treatment of Budd Chiari syndrome.[WT5”HZ] Methods[WT5”BZ] Thirty two cases of Budd Chiari syndrome caused by segmental inferior vena cava obstruction were treated by the procedure of inferior cavocaval shunt using artificial vascular graft from May 1994 to September 1996.[WT5”HZ] Results [WT5”BZ] Two patients died postoperatively with the mortality rate of 6%. Thirty cases were followed up from 6 to 30 months. The result of twenty six cases were excellent (81%), the preoperative symptoms,ascites, dilated tortuous veins on the abdominal and chest wall, and edema of lower extremities subsided. The liver below the right costal margin was no longer palpable. The result in 3 cases was judged as good (10%) with the dilated tortuous veins on the abdomenal and chest wall relieved,and the liver reduced in size after the treatment.The surgery was a failure in one case. [WT5”HZ] Conclusions[WT5”BZ] The procedure of inferior cavocaval shunt is more effective, safer and easier than that of cavoatrial shunt.With this procedure postoperative pericarditis could be avoided. It is a good procedure for segmental occlusion of the inferior cava vena. [WT5”HZ]
出处
《中华普通外科杂志》
CSCD
2000年第4期210-212,共3页
Chinese Journal of General Surgery
关键词
布-加综合征
腔静脉-腔静脉转流
术式
Hepatic veno occlusive disease
Cava vena, inferior
Blood vessel prosthesis
