肠系膜静脉血栓的临床诊治体会

目的探讨肠系膜静脉血栓早期诊断和治疗方法。方法回顾性分析总结自2000年7月至2007年5月收治的26例患者临床资料。结果最常见的病因为腹部手术后,最常见的临床症状为腹痛(24/26,92.3%);最可靠的诊断方法为肠系膜血管造影(100%)。26例保守治疗2例,介入治疗8例,手术治疗16例。结论对于可疑肠系膜静脉血栓形成的病人,应尽早行肠系膜血管造影,提高医生对肠系膜静脉血栓的认识和介入溶栓是提高肠系膜静脉血栓早期诊治行之有效的方法。

Clinical diagnosis and treatment of mesenteric venous thrombosis

Objective To explore early diagnosis and treatment of mesenteric venous thrombosis(MVT).Methods A retrospective study was performed on the clinical data of 26 patients with MVT from July 2000 to May 2007.Results The most common cause was abdominal postopration.The most common clinical manifestation was abdominal pain(24/26,92.3%).The most reliable diagnosis method was mesenteric angiography(100%).Among 26 cases,there were expectant treatment 2 cases,interventional therapy 8 cases,operation 16 cases.Conclusion It should perfrom mesenteric angiography as possible to suspicious MVT patients.It is important to improoe early diagnosis and treatment of MVT that rase doctor cognition and interventional thrombolytic therapy.