CAJ | 학술논문

目的：总结急性肠系膜静脉血栓形成（AMVT）的治疗经验及效果。方法回顾性分析北京市中关村医院及河南科技大学第一附属医院自2000年1月至2012年6月收治的 AMVT 患者的临床资料。结果共纳入19例AMVT 患者，彩色多普勒超声检出率58.8%，腹部 CT 检出率91.7%。5例患者行保守治疗，14例患者行手术治疗。发生手术并发症7例（50.0%），包括短肠综合征、肠瘘、多器官功能障碍综合征和切口感染。本组患者误诊率为21.1%，死亡率为21.1%。结论可疑 AMVT 患者应尽早行腹部增强 CT 检查，早期抗凝治疗是控制疾病发展的关键，对于透壁性肠坏死患者应立即手术治疗。
목적：총결급성장계막정맥혈전형성（AMVT）적치료경험급효과。방법회고성분석북경시중관촌의원급하남과기대학제일부속의원자2000년1월지2012년6월수치적 AMVT 환자적림상자료。결과공납입19례AMVT 환자，채색다보륵초성검출솔58.8%，복부 CT 검출솔91.7%。5례환자행보수치료，14례환자행수술치료。발생수술병발증7례（50.0%），포괄단장종합정、장루、다기관공능장애종합정화절구감염。본조환자오진솔위21.1%，사망솔위21.1%。결론가의 AMVT 환자응진조행복부증강 CT 검사，조기항응치료시공제질병발전적관건，대우투벽성장배사환자응립즉수술치료。
Objective To summarize the treatment experience and effect of the acute mesenteric venous thrombosis(AMVT). Methods The clinical data of patients with AMVT from January 2000 to June 2012 were analyzed retrospectively. Results 19 cases were included into the research. The detectable rates of color Doppler ultrasonography and CT for AMVT were 58. 8% and 91. 7% ,respectively. Five cases under-went conservative treatment,and 14 cases underwent surgical treatment. The postoperative morbidity rate was 50% ,including short bowel syn-drome in 3 patients,intestinal fistula in 2 patients,multiple organ dysfunction syndrome in 1 patient,and incision infection in 1 patient. The mis-diagnosis rate was 21. 1% . The in - hospital mortality rate was 21. 1% . Conclusion The patient who was suspicious of AMVT should perform abdominal enhanced CT examination as quickly as possible. Early anticoagulation therapy is the key point to control the development of AMVT. Laparotomy should be performed if the intestinal necrosis occurred.