Wang Z G
Beijing Heart Lung Blood Vessel Medical Center.
Zhonghua Wai Ke Za Zhi. 1992 Apr;30(4):218-21, 255.
Thirty-seven patients with superior vena cava (SVC) syndrome were admitted to our hospital during the recent six years. Among them, 23 were treated surgically. The approaches we used included SVC-atrial shunt plus lesion resection (1), innominate-atrial shunt without (2) or with membranotomy (1), jugular-atrial shunt (1), azygous-atrial shunt plus meso-atrial shunt (1), jugular-saphenous shunt (8), omental neck transplantation substernally (4) including one with omental-cervical vein anastomosis, and so on. Follow-up for an average of 40 months, showed marked effect in 55% of the surgical cases, improvement in 30%, and death in 10%. It is suggested to select intrathoracic operations for young, good risk, and surgically resectable patients and saphenous transplantation for elder, high risk and unresectable patients.
在最近六年里，有37例上腔静脉综合征患者被收治入院。其中，23例接受了手术治疗。我们采用的手术方法包括上腔静脉-心房分流术加病变切除术（1例）、无名静脉-心房分流术（未进行或进行了膜切开术，分别为2例和1例）、颈静脉-心房分流术（1例）、奇静脉-心房分流术加中间心房分流术（1例）、颈静脉-大隐静脉分流术（8例）、经胸骨后大网膜颈部移植术（4例，其中1例进行了大网膜-颈静脉吻合术）等等。平均随访40个月，结果显示手术病例中55%效果显著，30%有所改善，10%死亡。建议对年轻、风险低且可手术切除的患者选择开胸手术，对年老、风险高且不可切除的患者选择大隐静脉移植术。
