国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
5期
305-307
,共3页
布-加综合征%腔静脉%肝静脉%临床方案
佈-加綜閤徵%腔靜脈%肝靜脈%臨床方案
포-가종합정%강정맥%간정맥%림상방안
Budd-Chiari syndrome%Venae cavae%Hepatic veins%Clinical protcols
目的 探讨布-加综合征的临床病理分型及个体化的治疗方法.方法 分析总结河南大学淮河医院2006年3月-2010年8月收治的42例布-加综合征患者的临床资料.结果 42例患者共分为3种类型(5个亚型),采用手术、或介入治疗,其中各种分流术共20例,除1例术后出现肝性脑病死亡外,余均恢复良好;根治性病变切除和血栓取出术7例,治愈;球囊导管扩张5例,术后恢复良好;脾-肺固定术6例,术后临床治愈;4例急诊出血患者用三腔二囊管压迫止血,其中3例联合脾切+断流术,痊愈,1例经保守治疗无效,死亡,41例患者获随访,随访时间3个月～3年,2例复发,复发率4.9％,其余患者恢复满意.结论 针对布-加综合征的不同临床病理分型,采取个体化的治疗方案,能进一步提高其临床疗效.
目的 探討佈-加綜閤徵的臨床病理分型及箇體化的治療方法.方法 分析總結河南大學淮河醫院2006年3月-2010年8月收治的42例佈-加綜閤徵患者的臨床資料.結果 42例患者共分為3種類型(5箇亞型),採用手術、或介入治療,其中各種分流術共20例,除1例術後齣現肝性腦病死亡外,餘均恢複良好;根治性病變切除和血栓取齣術7例,治愈;毬囊導管擴張5例,術後恢複良好;脾-肺固定術6例,術後臨床治愈;4例急診齣血患者用三腔二囊管壓迫止血,其中3例聯閤脾切+斷流術,痊愈,1例經保守治療無效,死亡,41例患者穫隨訪,隨訪時間3箇月～3年,2例複髮,複髮率4.9％,其餘患者恢複滿意.結論 針對佈-加綜閤徵的不同臨床病理分型,採取箇體化的治療方案,能進一步提高其臨床療效.
목적 탐토포-가종합정적림상병리분형급개체화적치료방법.방법 분석총결하남대학회하의원2006년3월-2010년8월수치적42례포-가종합정환자적림상자료.결과 42례환자공분위3충류형(5개아형),채용수술、혹개입치료,기중각충분류술공20례,제1례술후출현간성뇌병사망외,여균회복량호;근치성병변절제화혈전취출술7례,치유;구낭도관확장5례,술후회복량호;비-폐고정술6례,술후림상치유;4례급진출혈환자용삼강이낭관압박지혈,기중3례연합비절+단류술,전유,1례경보수치료무효,사망,41례환자획수방,수방시간3개월～3년,2례복발,복발솔4.9％,기여환자회복만의.결론 침대포-가종합정적불동림상병리분형,채취개체화적치료방안,능진일보제고기림상료효.
Objective To study the clinicopathologic classification,and methods of individualized treatment of Budd-Chiari syndrome (B-CS).Methods Analysed the clinical data of 42 cases of B-CS in our hospital from March 2006 to August 2010.Results The 42 patients were divided into three types,including 5 subtypes,which of them underwent operation or the interventional therapy,All kinds of bypass,a total of 20 cases.After operation,1 case appeared hepatic encephalopathy and die from it,the others all recovered well.Radical lesion resection and thrombosis was taken out in 7 cases; a balloon catheter in 5 cases and postoperative recovered well.The spleen-lung fixation in 6 cases were cured after operation.The three cavity two capsule tube was used oppression hemostasis for 4 patients with emergency bleeding,three cases was cured of joint spleen cut + cutoff,1 case with conservative treatment is invalid,died.The 41 cases received follow-up,during the follow up period of 3 months to 3 years,2 patients had recurrence (4.9％),and the other patients recovered satisfactorily.Conclutions According to different the clinicopathologic classification of B-CS,Taking individualized treatment may further improve the clinical curative effect.
