下腔静脉肿瘤11例治疗体会

Surgical treatment of inferior vena cava tumor:a study of 11 cases

目的探讨下腔静脉肿瘤的外科治疗经验。方法回顾性分析华中科技大学同济医学院附属协和医院血管外科2004年5月至2009年6月间11例下腔静脉肿瘤病人的临床资料。结果全部病人术前检查提示下腔静脉内占位性病变且均接受手术,8例病人的肿瘤完整切除,3例行部分切除;术后1例死于肝功能衰竭,1例继发下腔静脉血栓,其余9例顺利出院。随访期间1例发展为布加综合征,其余未出现明显并发症及肿瘤复发。结论外科手术是下腔静脉肿瘤唯一确定有效的治疗方法;术后积极抗凝、抗肿瘤治疗是整个治疗中非常重要的一部分。

Objective To investigate the surgical treatment of inferior vena cava tumor. Methods The clinical data of 11 cases of inferior vena cava tumor admitted between May 2004 and June 2009 in the Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology were analyzed retrospectively. Results All the cases were found mass in inferior vena cava by type-B ultrasound, CTA or MRA and performed operation. The tumors of 8 cases were removed completely and those of 3 cases were excised partly. After operation 1 case died of liver disfunetion. Another case was diagnosed inferior vena cava thrombosis. The other 9 cases recovered smoothly without major complications. During follow-up, 1 case was developed into Budd-Chiari syndrome in the end and the other 9 cases did not appear serious complications and tumor recurrence. Conclusion Surgical intervention is the only effective measure for inferior vena cava tumor. To prevent the recurrence of the tumor, anticoagulation and antineoplaston are indispensable measures in the whole treatment process.