| 1 | Surgical treatment of Budd-Chiari syndrome:analysis of 221 cases显示文摘BACKGROUND:Budd-Chiari syndrome (B-CS) refers to post-hepatic portal hypertension and/or inferior vena cava hypertension caused by obstruction of blood flow at the portal cardinal hepatic vein.The treatments of B-CS include operations on pathological membrane lesions,shunting and combined operations.Studies have shown that China,Japan,India and South Africa have a high incidence of B-CS.In China,the Yellow River Basin in Henan,Shandong,Jiangsu and Anhui Provinces also have a high incidence,around 10 per 100 000.METHODS:The clinical data of 221 B-CS patients were analyzed retrospectively.We focused on pathological types,surgical methods,effectiveness and complications of treatment,and follow-up.RESULTS:Based on imaging findings such as color ultrasonography,angiography or magnetic resonance angiography,the 221 patients were divided into 3 types (five subtypes):type Ia (72 patients),type Ib (20),type II (72),type IIIa (33),and type IIIb (24).Surgical procedures included balloon membranotomy with or without stent (65 patients),improved splenopneumopexy (18),radical resection of membrane and thrombus (17),inferior vena cava bypass [29,with cavocaval transflow (13) and cavoatrial transflow (16)],mesocaval shunt (41),splenocaval shunt (25),splenoatrial shunt (12),splenojugular shunt (6),and combined methods (8).The complication rate was 9.05% (20/221) and the perioperative death rate was 2.26% (5/221).All of the patients were followed up from 6 months to 5 years.The success rate was 84.6% (187/221),and the recurrence rate was 8.9% (9/101) and 13.5% (13/96) after 1-and 5-year follow-up,respectively.CONCLUSION:The rational choice of surgical treatment based on B-CS pathological typing may increase the success rate and decrease the recurrence. | Xiao-Wei Dang,Pei-Qin Xu,Xiu-Xian Ma,Da-Qian Xu,Yan-Ju Zhu and Yong-Shuai Zhang Division of Hepatobiliary and Pancreatic Surgery,First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052,China | 2011 | Hepatobiliary & Pancreatic Diseases International2011，10，4： | 17 |
| 2 | 21例下腔静脉放置支架治疗布-加综合征失误临床分析显示文摘目的探讨介入治疗布-加综合征(BCS)适应证及其失误后的外科治疗措施。方法回顾性分析21例行下腔静脉放置支架失误的BCS患者临床资料。结果21例失误中适应证选择不当6例,支架堵塞主肝静脉1例,堵塞扩张的副肝静脉10例,支架移位3例,支架未展开1例。19例改行手术治疗,其中18例行分流术,1例行下腔静脉隔膜根治性切除术。手术治疗的19例均获成功。18例分流术后自由门静脉压力(FPP)明显下降(P<0.05),无围手术期死亡。随访15例,随访时间为6个月至6年。有效率86.7%(13/15),复发率6.7%(1/15)。1例患者于术后2年死于肝性脑病。结论介入治疗BCS时要严格掌握其适应证,对介入治疗失误和复发病例可选用不同的分流手术。 | 马秀现 党晓卫 许培钦 | 2005 | 中国普通外科杂志2005，14，6： | 5 |
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