【摘要】 目的　探讨多种介入治疗与手术联合治疗布加综合征的疗效。方法　 1995～ 2 0 0 2年收治的 15例重症布加综合征 ,在介入引导下行下腔静脉球囊扩张、支架植入术 ,2周后加做肠系膜上静脉下腔静脉C形分流术或脾肾分流术及断流术。结果　行该联合术式共 15例 ,术后肝脾肿大缩小 ,腹水消失或减少。下腔静脉压力降低0 49～ 1 0 8kPa ( 5～ 11cmH2 O)。门静脉压力降低 0 6 9～ 2 35kPa( 7～ 2 4cmH2 O)。14例存活 ,无并发症。 1例术后因多器官功能衰竭死亡。结论　新的组合术式扩大了治疗范围 ,既解除了下腔静脉高压 ,又降低了门静脉高压 ,达到了联合减压的目的 ,有其临床价值。更多还原

【Abstract】 Objective To discuss a new combined procedure for treatment of Budd-Chiari syndrome. Methods Fifteen patients with Budd-Chiari syndrome underwent interventional treatment (Balloon dilation and endovascular stents) plus superior mesenteric-caval (MC) shunt or spleen-renal shunt and devascularization which were performed 2 weeks later.Results Fourteen patients who underwent the combined procedure had reduced hepatosplenomegaly and ascite after operation.The IVC pressure and portal pressure were decreased by 0.49～1.08kPa (5～11cmH 2O) and 0.69～2.35kPa (7～24cmH 2O) respectively.Fourteen patients were still alive without complication and recurrence of ascite in 4～84 months follow-up.One died from postoperative MODS.Conclusion The new combined procedure reduces both IVC and portal hypertension and reaches the goal of combined decompression.It has the value of clinical use.更多还原