CAJ | 학술논문

目的探讨经肠系膜上静脉取栓联合术后溶栓治疗急性肠系膜上静脉血栓形成的疗效.方法回顾性分析1997年1月至2009年12月收治的16例急性肠系膜上静脉血栓形成患者经肠系膜上静脉取栓加术后溶栓的疗效.结果 16例患者均痊愈出院,无死亡及再次手术患者.1例出现并发症,并发症发生率为6.25％.结论经肠系膜上静脉取栓加术后溶栓治疗是治疗急性肠系膜上静脉血栓形成的一种简单易行、便于操作的手术方式,临床效果良好,治愈率高,术后并发症少,可降低因切除肠管过多引起的营养不良、短肠综合征的发生率.
목적 탐토경장계막상정맥취전연합술후용전치료급성장계막상정맥혈전형성적료효.방법 회고성분석1997년1월지2009년12월수치적16례급성장계막상정맥혈전형성환자경장계막상정맥취전가술후용전적료효.결과 16례환자균전유출원,무사망급재차수술환자.1례출현병발증,병발증발생솔위6.25％.결론 경장계막상정맥취전가술후용전치료시치료급성장계막상정맥혈전형성적일충간단역행、편우조작적수술방식,림상효과량호,치유솔고,술후병발증소,가강저인절제장관과다인기적영양불량、단장종합정적발생솔.
Objective To investigate the effect of thrombectomy through superior mesenteric vein combined with postoperative thrombolytic therapy on acute superior mesenteric venous thrombosis (ASMVT).Methods The curative effects of 16 patients with ASMVT underwent thrombectomy through superior mesenteric vein combined with postoperative thrombolytic therapy from January 1997 to December 2009 were retrospectively analyzed.Results Sixteen cases were all cured,with no death or reoperation.Complication occurred in 1 case,the incidence was 6.25％.Conclusions Thrombectomy through superior mesenteric vein combined with postoperative thrombolytic therapy is an easy operation method for ASMVT,with high cure rate,less complications and can reduce the incidence of malfunction,short bowel syndrome caused by excessive resection of intestine.