【摘要】 目的　探讨布 加氏综合征的下腔静脉短段闭塞及肝静脉主干病变根治性切除的优缺点、术中的注意事项。方法　下腔静脉闭塞或狭窄段切除、人工血管原位移植术 42例 ,肝静脉主干闭塞段切除、肝静脉流出道成形、人工血管原位移植术 10例 ,肝静脉主干闭塞段切除、肝静脉 右心房吻合 3例。经皮肝穿肝或副肝静脉破膜、扩张 10例。结果　 1例死于并发症 ,随访 5 8例 ,平均 30个月 ,介入复发 3例 ,手术复发 1例。结论　下腔静脉或肝静脉病变段切除、人工血管原位移植治疗布 加氏综合征 ,能根治病变、符合正常解剖生理、远期疗效好更多还原

【Abstract】 Objective [WT5”BZ]To evaluate the results of radical resection for the treatment of Budd Chiari syndrome (BCS) caused by short segmental lesions in inferior vena cava (IVC), and major hepatic veins (MHV).[WT5”HZ]Methods [WT5”BZ]In this series, resection of IVC occlusive segment and orthotopic artificial vascular graft transplantation were performed in 42 patients. Resection of major hepatic vein, hepatic venous plasty and orthotopic transplantation with artificial vascular graft were performed in 10 patients. Resection of major hepatic vein, anastomosis between hepatic vein and right artrium in 3 cases. Percutaneous transhepatic angioplasty in 10 cases.[WT5”HZ]Results [WT5”BZ]One patient died of complication. 58 cases were followed up for an average of 30 months. 3 cases in interventional group suffered recurrence and one in surgical group had recurrence.[WT5”HZ]Conclusions [WT5”BZ]The treatment of BCS by resecting inflicted segment of IVC or hepatic veins and orthotopic artificial vascular graft transplantation effect a radical cure in most cases.更多还原