急性肠系膜静脉血栓形成的介入治疗

Interventional therapy of acute mesenteric venous thrombosis

目的探讨介入治疗急性肠系膜静脉血栓形成(AMVT)的方法及疗效。方法对15例经影像学确诊的AMVT患者进行了介入治疗,其中经肠系膜上动脉途径溶栓治疗8例,经皮经肝穿刺门静脉途径机械性取栓5例,经颈静脉经肝穿刺门静脉途径机械性取栓2例。结果15例患者均获成功,介入治疗后腹痛消失,血管造影可见肠系膜上静脉内血流通畅。本组均获随访,随访时间为10～22个月,均未复发。结论对于早期AMVT病例,介入治疗是一种较好的方法。

Objective To assess the efficiency and methods of the interventional management in acute mesenteric venous thrombosis （AMVT）. Methods Fifteen patients with AMVT who diagnosed by imageology were treated by interventional procedures. Eight patients were treated by transcatheter superior mesenteric artery thrombolysis with urokinase, 5 cases by pereutaneous transhepatic treatment, 2 cases by transjugnlar intrahepatic portosystemic shunt approach. Results The technical success was achieved in all the 15 cases without complications. The majority of the thrombus was cleared by interventional procedures and flow restorated on the angiograms. All the patients with follow - up from 10 to 22 months showed no recurrence. Conclusion The minimally invasive interventional techniques are safe and effective in the treatment of mesenterie venous thrombosis without necrosis.