摘要
自1994年5月~1995年7月,作者采用下腔静脉肝段与膈上段旁路术治Ⅲ_a型和Ⅰ型个-加综合征患者21例。采用人造血管的直径1.6cm,长度6~8cm。20例患者手术顺利完成,无手术后并发症,1例死于急性呼吸功能衰竭。随访2~13个月,患者的症状和体征消失,人造血管通畅。结果提示:本术式为Ⅲ_a型和Ⅰ型布-加综合征的首选术式,可获得满意疗效,且可避免术后心包炎的发生。
Abstract The treatment of 21 patients with Budd-Chiari syndrome(BCS) of type Ⅰ and Ⅲ a with posthepatic and superhepatic inferior vena cava by-pass is reported in this paper. The artificial blood vessels used were 6 to 8 cm in length and 1. 6 cm in diameter. One patient died of postoperative respiratory failure. 2 to 13 mouths follow-up demonstrated that the signs and syndromes of BCS of 20 patients were markedly improved and the artificial blood vessels were patent. It is concluded that this procedure is effective for the patients with BCS in type Ⅰ and Ⅲ a, and the postoperative pericarditis could be prevented.
出处
《普外临床》
CSCD
1996年第6期341-342,共2页