临床肝胆病杂志2011，Vol.27Issue(2)：113-115,3.
布-加综合征的进展与展望
Evolution and prospects of Budd-Chiari syndrome
汪忠镐 1李春民 2李震 3卞策 2谷涌泉 1俞恒锡 1陈兵1
作者信息
- 1. 首都医科大学宣武医院血管外科,北京,100053
- 2. 首都医科大学附属复兴医院血管外科,北京,100038
- 3. 航空总医院血管外科,北京,100012
- 折叠
摘要
Abstract
This paper reviewed the research progress of Budd-Chiari syndrome, a portal hypertension caused by hepatic venous occlusion. Budd and Chiari reported their findings of the occlusive status of the hepatic veins in 1845 and 1899 respectively.Since then etiologic and epidemiologic investigations on the disease were carried out. Renomination of Budd-Chiari syndrome to the hcpatocaval occlusive syndrome is perhaps much more appropriate because the occlusive lesions were mainly located in the inferior vena cava in China, India, and South Africa. According to the classification of lesions, different treatments were developed.In the acute stage, the fibrolysis therapy is indicated. In the chronic stage, it includes various PTA, indirect decompression, perigastroesophageal devascularization, promoting collateral procedures, direct decompression, including cavo- or meso- even capitus medusa to right atrium or internal jugular vein shunt and the radical resection is a means for radical cure. However, major surgery and liver transplantation is the last option and the indication must be strict. Further research should focus on the etiology of the membranous obstruction of the inferior vena cava, early diagnosis and early intervention and PTA or surgery in treating the more complex lesions.关键词
Budd-Chiari综合征/门体分流术,外科Key words
Budd-Chiari syndrone/ portasystemic shunt/ surgical分类
医药卫生引用本文复制引用
汪忠镐,李春民,李震,卞策,谷涌泉,俞恒锡,陈兵..布-加综合征的进展与展望[J].临床肝胆病杂志,2011,27(2):113-115,3.
