柏-查氏综合征静脉回流途径的研究

Study of Venous Collaterals in Cases with Budd Chiari Syndrome

目的探讨柏查氏综合征（ＢＣＳ）侧支循环的途径和意义。方法复习我所２３９例ＢＣＳ下腔静脉造影表现，对其静脉回流途径进行研究。结果２３９例，男１３８例，女１０１例，年龄１０～６５岁（平均３２１４岁）。根据下腔静脉阻塞程度将病变分为轻、中、重度和完全阻塞四级，１４３例显示侧支占５９８３％，并按静脉回流途径将侧支循环分为五型，Ｉ型出现率最高，三种类型同时出现最多见。结论下腔静脉阻塞程度与侧支循环的出现率呈正相关，侧支循环的建立有着重要的临床意义。

Purpose To explore the paths and significance of the collateral cirulation of Budd Chiari Syndrome.Methods Of 239 cases who ranged in age from 10 to 65 years (mean:32.14),138 cases was male and 101 cases was female.The manifestation of phlebography of inferior vena cava in 239 cases with Budd Chiari Syndrome was analyzed and the refluent paths of the collateral circulation were studied and classified.Results The lesion was divided into slight stenosis,moderate stenosis,severe stenosis and complete obstruction according to the constrictive degree of inferior vena cava.The venous refluent paths of the collateral circulation were divided into five types.Among them,type I was most shown and simultaneous existence of three types was most seen.Conclusion Constrictive degree was in direct proportion to the tendency of forming the collateral circulation.Establishment of the collateral circulation was important significance for the clinic. [