• 1.山東醫(yī)科大學附屬醫(yī)院普外科(濟南250012);;
  • 2.解放軍第106醫(yī)院普外科(濟南250022);

目的  通過總結78例布加氏綜合征治療方法，以探討多種手術及介入方法的療效。
方法  78例中行經皮腔內血管成形術(PTA) 18例，PTA加支架置入術10例，脾肺固定加大網膜包肺術20例，經右心房及股靜脈聯(lián)合破膜擴張并置支架術15例，下腔靜脈-右心房人工血管轉流術10例，直視根治加支架置入術5例。
結果  術后病情緩解，下腔靜脈壓力由術前2.50～3.95 kPa下降至術后1.41～2.33 kPa，門靜脈壓力由術前3.63～5.00 kPa下降至2.16～3.23 kPa。
結論  對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?shù)氖中g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例報告. 中國普外基礎與臨床雜志, 2000, 7(3): 164-166. doi: 復制

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  1. 1. Nakao K, Adochi S, Kawashima Y, et al. A radical operation for the BuddChiari syndrome associated with obstruction of the inferior evna cava: a report of six patients 〔Ｊ〕. J Cardiovasc Surg, 1984; 25(3)∶216.
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  3. 3. 許培欽， 蘇壽恒， 秦保明等. 脾肺固定術附加大網膜肺固定術治療下腔靜脈膜性梗阻 〔Ｊ〕. 中華外科雜志， 1987； 25(9)∶517.
  4. 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.