肠系膜静脉血栓诊断及介入治疗策略

Mesenteric vein thrombosis:Diagnosis and interventional therapy strategy

肠系膜静脉血栓(MVT)发病率较低,约5%~15%患者可导致急性肠系膜缺血。临床体征无特异性,最常见的症状为腹痛。早期的CT诊断、正规的抗凝治疗、介入或手术恢复血流及加强监护等是治疗成功的基础。本文就MVT的病因、临床表现、诊断及治疗策略等方面的进展作一综述。

Mesenteric vein thrombosis （MVT） occurs rarely and is responsible for approximately 5^--15~ of all cases of acute mesenteric ischemia. Clinical signs of MVT are usually non-specific. The most common presenting symptom is ab- dominal pain. Early diagnosis with CT, proper anticoagulation, interventional or surgical blood flow restoration, and sup- portive intensive care are the basis of successful treatment of MVT. This review will assess the progress of its etiology, clinical presentation, diagnosis and strategy of treatment to MVT.