肠系膜静脉血栓的诊断与治疗

Diagnosis and therapy status of mesenteric venous thrombosis

肠系膜静脉血栓(MVT)较少见,且临床表现无特异性,早期诊断困难。近年来医学影像学取得了巨大的进步,尤其是多层螺旋CT及MR的临床应用,使MVT的早期诊断成为可能。介入治疗学的发展、特别是经肠系膜动脉灌注罂粟碱及经皮经肝门静脉MVT取栓、溶栓等介入治疗技术的成熟,大大降低了MVT的死亡率。本文对MVT的诊断和治疗现状进行综述。

Mesenteric venous thrombosis （MVT） is a kind of rare intestinal anemic disease. Because the clinical manifestations of MVT do not have high specificity, early diagnosis is difficult. In recent years, with huge progress of medical imaging technology, particularly the clinical application of spiral CT and MRI, the early diagnosis of MVT became possible. With the development of interventional therapies, especially the maturity of the interventional treatment technology such as mesenteric artery perfusion with papaverine, thrombectomy and thrombolysis via percutaneous transhepatic portal vein and so on, MVT mortality rate reduced greatly. The diagnosis and therapy status of MVT were reviewed in this article.