腔静脉-腔静脉转流术治疗Ⅲa型布-加综合征

Results of inferior cavocaval shunt in Budd-Chiari syndrome

目的 :探讨Ⅲa型布 加综合征新的手术方式。方法 :1 994年 5月～ 2 0 0 1年 1月采用腔静脉 腔静脉人工血管转流术对 46例Ⅲa型布 加综合征患者进行手术治疗 ,并对其疗效进行评定。结果 :围手术期死亡 2例 ,病死率 4 .3 %。 39例患者术后随访 6～ 72个月 ,随访率 84.8% ,效果优者 33例 (84.6 % ) ;良好者 4例 (1 0 .3 % ) ;2例效果欠佳 (5 .1 % )。结论 :本术式与腔静脉 右心房转流术相比具有人工血管短、创伤小 ,疗效确切的优点 ,并可避免心包炎的发生 ,是治疗Ⅲa型布

Aim: To evaluate the result of inferior cavocaval shunt in the treatment of Budd Chiari syndrome(B CS) caused by short segmental obstruction in inferior cava vena. Methods:A total of 46 cases of B CS were treated by the procedure of inferior cavocaval shunt with artificial vascular graft from May 1994 to January 2001. Results:Two patients died postoperatively with the mortality rate of 4.3%, and 39 cases were followed up for 6 to 72 months. The results of 33 cases were excellent (84.6%), 4 were good (10%), and 2 were noneffective(5.1%). Conclusion: The procedure of inferior cavocaval shunt is more effective, safer and easier than that of cavoatrial shunt. Postoperative pericarditis could be avoided. It is a good procedure for segmental occlusion in inferior cava vena.