应用大隐静脉转流治疗术后复发性上腔静脉综合征

目的：为解除上腔静脉阻塞、改善患者生活质量、为综合治疗创造条件。方法；１９９３年１１月至９９７年１２月，对３例恶性上腔静脉综合征开胸手术后复发患者中大隐静脉－颈外静脉转流术。结果；术后患者症状即改善，体征分别在７天至２０天消失。２例患者存活３个月和７个月，例至今已存活１１个月。结论：大隐静脉－颈外静脉充手术简单、安全，有效地改善了ＳＶＳＣ太，是ＳＶＳＣ较好的一下手术方法。

Sapheno-jugular Bypass as Palliative Measure for Recurrent Superior Vena Cava Syndrome

Objective:Superior vena cava syndrome (SVCS) occurs most commonlyas a complication of intrathoracic malignancy. Reoperation is considered contraindicated for recurrent postoperative SVCS. This report concerns a simple method of bypassing the recurred obstructed superior vena cava to the great saphenous vein to relieve SVCS. Methods: The bypass technique was performed on 3 patients with recurrent SCVS. The right great saphenous vein was freed and drawn through the subcutaneous tunnel of abdominal and chest wall and to be anastamosed with right external jugular vein. Results: The symptoms of SVCS were ameliorated in all patients without relapse. One patient has been living for eleven months. Conclusion: This simple bypass procedure allows decompression of superior vena cava with minimal risk of morbidity or death and provides excellent palliation of a most diabling condition.