摘要
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.
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.
出处
《国际外科学杂志》
2014年第5期305-307,共3页
International Journal of Surgery
关键词
布-加综合征
腔静脉
肝静脉
临床方案
Budd-Chiari syndrome
Venae cavae
Hepatic veins
Clinical protcols
