摘要
目的 探讨布加综合征继发下腔静脉 (inferiorvenacava ,IVC)血栓形成的诊断方法。方法 本组 31例 ,均做术前造影 ,彩超检查 2 8例 ,2 8例行根治术并取栓。结果 造影发现血栓 2 4例 ,彩超发现 2 5例 ,手术无死亡及急性肺动脉栓塞 ,随访 6个月～ 80个月 ,复发 3例。结论 造影对附着于侧壁或大块的血栓诊断确切 ,对前后壁或漂浮的血栓易漏诊。在治疗中 ,新鲜或漂浮的血栓在切开IVC后多被血流冲出 。
Objectives To evaluate methods to diagnose Budd-Chiari syndrome with inferior vena cava (IVC) thrombosis.Methods 31 cases underwent phlebography, 28 cases received color Doppler sonography preoperatively. Radical thrombectomy was carried out in 28 cases. Results IVC thrombi was found by phlebography in 24 cases, and by color Doppler sonograhy in 25 cases. There was no intraoperative death, nor acute pulmonary embolism.All patients were discharged uneventfully. Follow-up of 6 to 80 months found recurrence in 3 cases.Conclusions Large or lateral thrombi can be easily diagnosed by phlebography. Fresh or floating thrombi often missed by phlebography could be rushed out by blood stream at the time IVC was incised.The thrombi adhered to the IVC wall could be taken out with large balloon catheter or manually.
出处
《中华普通外科杂志》
CSCD
北大核心
2002年第1期28-29,共2页
Chinese Journal of General Surgery
