中国现代手术学杂志2011，Vol.15Issue(1)：47-51,5.
介入和外科手术治疗布加综合征39例诊治体会
Interventional and Surgical Treatment of Budd-Chiari Syndrome: A Report of 39 Cases
舒畅 1罗明尧 1姜晓华 1李全明 1黎明1
作者信息
- 1. 中南大学湘雅二医院血管外科,长沙,410011
- 折叠
摘要
Abstract
Objective To explore the indications and effects for interventional and surgical treatment of Budd-Chiari syndrome. Methods A retrospective analysis of the clinical data of 39 B-CS patients treated by interventional and surgical therapy has been carried out. Among these patients, percutaneous transinferior vena cava angioplasty was performed in 3 cases, inferior vena cava PTA with stent deployed in 12 cases, radical resection in 9 cases, shunt or bypass procedure in 15 cases. Results The immediate successful rate for interventional and surgical treatment was 100％. The perioperative mortality was 0％. The inferior vena cava pressure was reduced by 5 ～24 cmH2O. A follow-up study showed that 13 cases returned to normal life, 11 could be engaged in light manual work, 8 could not do any manual work but take care of themselves. Among the radical resection group, one had recurrent pleural effusion until one year postoperatively, another had a relapse and was lost to follow-up thereafter. Conclusions Interventional therapy may be the first choice for most B-CS patients, but surgical treatment including radical resection and shunt also has their indications and unreplacement. Patients with different clinical types and different hemodynamic changes should be undergone different operations.关键词
肝静脉血栓形成分类
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舒畅,罗明尧,姜晓华,李全明,黎明..介入和外科手术治疗布加综合征39例诊治体会[J].中国现代手术学杂志,2011,15(1):47-51,5.
