目的 通過總結(jié)78例布加氏綜合征治療方法，以探討多種手術(shù)及介入方法的療效。
方法 78例中行經(jīng)皮腔內(nèi)血管成形術(shù)(PTA) 18例，PTA加支架置入術(shù)10例，脾肺固定加大網(wǎng)膜包肺術(shù)20例，經(jīng)右心房及股靜脈聯(lián)合破膜擴(kuò)張并置支架術(shù)15例，下腔靜脈-右心房人工血管轉(zhuǎn)流術(shù)10例，直視根治加支架置入術(shù)5例。
結(jié)果 術(shù)后病情緩解，下腔靜脈壓力由術(shù)前2.50～3.95 kPa下降至術(shù)后1.41～2.33 kPa，門靜脈壓力由術(shù)前3.63～5.00 kPa下降至2.16～3.23 kPa。
結(jié)論 對(duì)下腔靜脈或肝靜脈膜性阻塞或狹窄且無新鮮血栓者，PTA加支架置入為首選措施，不宜用此法的患者以選擇適當(dāng)?shù)氖中g(shù)加介入治療為佳。
引用本文： 劉軍,靳祖濤,王占民,倪家連. 布加氏綜合征外科治療78例報(bào)告. 中國(guó)普外基礎(chǔ)與臨床雜志, 2000, 7(3): 164-166. doi: 復(fù)制
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- 1. Nakao K, Adochi S, Kawashima Y, et al. A radical operation for the BuddChiari syndrome associated with obstruction of the inferior evna cava: a report of six patients 〔Ｊ〕. J Cardiovasc Surg, 1984; 25(3)∶216.
- 2. Kage M, Aragava M, Kojiro M, et al. Histopathology of membranous obstruction of the inferior evna cava in the BuddChiari syndrome 〔Ｊ〕. Gastroenterology, 1992; 102(6)∶2081.
- 3. 許培欽， 蘇壽恒， 秦保明等. 脾肺固定術(shù)附加大網(wǎng)膜肺固定術(shù)治療下腔靜脈膜性梗阻 〔Ｊ〕. 中華外科雜志， 1987； 25(9)∶517.
- 4. Akaba N, Juiie H, Kohno M, et al. Experimental study of arterial reconstruction with device made of shape memory plastic 〔Ｊ〕. Artificial Orangs, 1991; 14(Suppl 4)∶172.