中华医学杂志（英文版）2007，Vol.120Issue(8)：622-625,4.
Radical correction of Budd-Chiari syndrome
Radical correction of Budd-Chiari syndrome
LI Xiao-qiang 1WANG Zhong-gao 2MENG Qing-you 1SANG Hong-fei 1QIAN Ai-min 1DUAN Peng-fei 1RONG Jian-jie1
作者信息
- 1. Department of Vascular Surgery, Second Hospital Affiliated to Soochow University, Suzhou 215004, China
- 2. Department of Vascular Surgery, Xuanwu Hospital, Institute of Vascular Surgery, Capital University of Medical Sciences, Beijing 100053, China
- 折叠
摘要
Abstract
Background Interventional therapy is widely accepted as the first choice for the treatment of the Budd-Chiari syndrome,but the use of radical correctional therapy should not be discarded. This study describes radical correction by controlling bleeding from distal end of pathological segment of the inferior vena cava (IVC) and discusses potential surgical errors and postoperative complications.Methods Of the 216 patients in the study, 78 were treated with simple membranectomy, 64 with dissection of the pathological segment of the IVC and vascular prosthesis or pericardial patch plasty, 60 with resection of the pathological segment of the IVC and orthotopic graft transplantation with vascular prosthesis, and 14 with resection of the occlusive main hepatic vein and its upper IVC, hepatic venous outflow plasty and vascular prosthesis orthotopic graft transplantation from the hepatic venous entrance to the IVC of right atrial ostium.Results Except 14 cases who were discharged after hepatic vein outflow plasty, four cases died postoperatively, and 198 patients were discharged without complications. The symptoms of 15 patients were relieved partially and 2 without any change. There were no deaths intraoperatively. Of the 112 cases who were followed up for 72 months, 13 suffered from a relapse.Conclusions Radical correction is a beneficial therapy in the treatment of Budd-Chiari syndrome.关键词
hepatic vein thrombosis/radical correction/Budd-Chiari syndromeKey words
hepatic vein thrombosis/radical correction/Budd-Chiari syndrome分类
医药卫生引用本文复制引用
LI Xiao-qiang,WANG Zhong-gao,MENG Qing-you,SANG Hong-fei,QIAN Ai-min,DUAN Peng-fei,RONG Jian-jie..Radical correction of Budd-Chiari syndrome[J].中华医学杂志（英文版）,2007,120(8):622-625,4.
