采用中房分流术治疗下腔静脉阻塞型布加综合征。

Treatment of Budd-Chiari syndrome with inferior vena caval occlusion by mesoatrial shunt.

作者信息

Behera Arunanshu, Menakuru Somasekhar R, Thingnam Shyam, Kaman Lileswar, Bhasin Deepak K, Kochher Rakesh, Dhiman Radhakrishan, Singh Kartar

机构信息

First Unit of Department of General Surgery, Nehru Hospital, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Eur J Surg. 2002;168(6):355-9. doi: 10.1080/11024150260284879.

OBJECTIVE

To report the effectiveness of a mesoatrial shunt in the treatment of Budd-Chiari syndrome caused by combined hepatic vein and inferior vena caval block.

DESIGN

Retrospective study.

SETTING

Tertiary care hospital, India.

PATIENTS

10 patients (4 men and 6 women; mean age 28, range 18-45) who had operations for Budd-Chiari syndrome between 1994 and 2000.

INTERVENTION

Mesoatrial shunt.

MAIN OUTCOME MEASURES

Graft patency, survival, liver function and symptoms.

RESULTS

One patient died. All grafts were patent over a mean follow up period of 40 months (range 6-71). All survivors have normal liver function and were symptom free at the time of writing.

CONCLUSION

Mesoatrial shunt is effective in the treatment of Budd-Chiari syndrome caused by combined hepatic vein and vena caval occlusion.

目的

报告中房分流术治疗肝静脉和下腔静脉联合阻塞所致布加综合征的有效性。

设计

回顾性研究。

地点

印度三级护理医院。

患者

10例患者（4例男性，6例女性；平均年龄28岁，范围18 - 45岁），于1994年至2000年间接受布加综合征手术。

干预措施

中房分流术。

主要观察指标

移植物通畅情况、生存率、肝功能及症状。

结果

1例患者死亡。在平均40个月（范围6 - 71个月）的随访期内，所有移植物均通畅。所有存活患者肝功能正常，撰写本文时无症状。

结论

中房分流术治疗肝静脉和腔静脉联合阻塞所致布加综合征有效。