摘要
目的 探讨肝段下腔静脉阻塞症的有效治疗方法。方法 54例病人中 ,2 0例行下腔静脉隔膜破膜术 ,5例行下腔静脉切开根治性隔膜切除术 ,16例行下腔静脉右心耳人造血管转流术 ,8例行肠系膜上静脉 右心耳人造血管转流术 ;4例作了下腔静脉 -右心耳、肠系膜上静脉 下腔静脉人造血管联合转流术 ,1例行肺包脾手术。结果 本组 54例患者中 ,除 3例分别于术后 12d、4 5d、7个月因肝肾功能衰竭死亡外 ,其余 51例术后症状明显减轻 ,平均住院 11d出院。随访 1～ 6年 ,39例下肢肿胀明显减轻 ,腹胀消失 ,能从事一般体力劳动 ;12例术后 1年复发。结论 手术治疗肝段下腔静脉阻塞是目前最有效的治疗方法。
Objective To explore the effective treatment of hepatic segmental interior vena cava(IVC) obstruction.Methods Among the 54 cases,20 cases were treated with the rupture of vena caval diaphragm,5 cases with radical removal of IVC diaphragm,16 cases with artificial blood vessel shunt from IVC to right aurice ,8 cases with artificial blood vessel shunt from superior mesenteric vein (SMV) to right aurice,4 cases with the combined use of artificial blood vessel shunt from IVC to right auricle and from SMV to IVC,and 1 case with spleno-pneumonopexy (Akita's operation).Results 3 cases died of hepto-renal failure postoperatively 12 days,45 days and 7 months later respectively,and other cases were discharged from hospital with their postoperative symptoms greatly relieved and with their average hospitalization time being 11 days.According to the 1-6 years of follow-up visits,39 cases were found to be able to do normal physical work with their swelling in lower limbs alleviated and with their abdominal distension cured.Hepatic segmental IVC obstruction recurred pstoperatively in one case one year later.Conclusion Surgical operation seems to be the most effective treatment of hepatic segmental IVC obstruction.
出处
《临沂医学专科学校学报》
2000年第3期177-178,共2页
Journal of Linyi Medical College
关键词
肝
下腔静脉阻塞
外科手术
治疗
Liver
Inferior vena cava obstruction
Surgery,operation
