肠系膜上静脉血栓形成的临床分析

Clinical analysis of superior mesenteric venous thrombosis

目的 探讨肠系膜上静脉血栓形成 (MVT )的诊断和治疗。方法 回顾性分析 13例MVT的临床资料。结果 13例均经手术证实。术前 6例明确诊断 ,7例误诊。 11例治愈 ,2例死亡。结论 MVT早期临床症状与体征不相符 ,诊断困难 ,B超和CT对其诊断价值较大。术中、术后抗凝治疗是防止复发。

Objective To study the diagnosis and treatment of superior mesenteric venous thrombosis (MVT). Methods The clinical data of 13 MVT cases were retrospectively analyzed. Results The diagnosis of MVT in all 13 cases were comfirmed by surgery. Of them,diagnosis for 6 cases was made preoperatively, and misdiagnosed preoperatively in 7.11 patients were cured, and 2 died. Conclusions Because the symptom does not accord with physical sign in the early stage of MVT, the diagnosis of MVT is difficult . B US and CT are useful in the diagnosis of MTV.Intra and post operative coagulation treatment is the key to prevent the recurrence and to reduce the mortality.