Objective To study the curative effect of operative and interventional treatment in 78 cases of BuddChiari syndrome (BCS).
Methods Among these patients, percutaneous transinferior vena cava angioplasty (PTA) was performed in 18 cases, PTA and stent in 10 cases, splenopneumopexy plus pedicled omento-pneumopexy of the left lower lobe in 20 cases, combined transcardiac membranotomy and transfemoral venous ballon dilatation and stent in 15 cases, right atrium-inferior vena cava shunt in 10 cases, and radical operation plus stent in 5 cases.
Results After the treatment, the descent of inferior vena cava (IVC) pressure from 2.50～3.95 kPa to 1.41～2.33 kPa, the descent of portal venous pressure from 3.63～5.00 kPa to 2.16～3.23 kPa were observed.
Conclusion The authors consider that PTA is the first choice for localized lesions, the following method is the operation combined with interventional treatment.
Citation：
LIU Jun,JIN Zutao,WANG Zhanmin,et al.. SURGICAL TREATMENT OF BUDD-CHIARI SYNDROME: EXPERIENCE OF 78 CASES. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(3): 164-166. doi:
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Nakao K, Adochi S, Kawashima Y, et al. A radical operation for the BuddChiari syndrome associated with obstruction of the inferior evna cava: a report of six patients 〔Ｊ〕. J Cardiovasc Surg, 1984; 25(3)∶216.
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Kage M, Aragava M, Kojiro M, et al. Histopathology of membranous obstruction of the inferior evna cava in the BuddChiari syndrome 〔Ｊ〕. Gastroenterology, 1992; 102(6)∶2081.
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许培钦， 苏寿恒， 秦保明等. 脾肺固定术附加大网膜肺固定术治疗下腔静脉膜性梗阻 〔Ｊ〕. 中华外科杂志， 1987； 25(9)∶517.
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Akaba N, Juiie H, Kohno M, et al. Experimental study of arterial reconstruction with device made of shape memory plastic 〔Ｊ〕. Artificial Orangs, 1991; 14(Suppl 4)∶172.
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- 1. Nakao K, Adochi S, Kawashima Y, et al. A radical operation for the BuddChiari syndrome associated with obstruction of the inferior evna cava: a report of six patients 〔Ｊ〕. J Cardiovasc Surg, 1984; 25(3)∶216.
- 2. Kage M, Aragava M, Kojiro M, et al. Histopathology of membranous obstruction of the inferior evna cava in the BuddChiari syndrome 〔Ｊ〕. Gastroenterology, 1992; 102(6)∶2081.
- 3. 许培钦， 苏寿恒， 秦保明等. 脾肺固定术附加大网膜肺固定术治疗下腔静脉膜性梗阻 〔Ｊ〕. 中华外科杂志， 1987； 25(9)∶517.
- 4. Akaba N, Juiie H, Kohno M, et al. Experimental study of arterial reconstruction with device made of shape memory plastic 〔Ｊ〕. Artificial Orangs, 1991; 14(Suppl 4)∶172.
