肠系膜上动脉压迫综合征的诊疗分析

目的　总结肠系膜上动脉压迫综合征的诊断与治疗经验。方法　对我院 1 983年～2 0 0 2年诊治过的 1 6例病人的临床资料进行回顾性分析。结果　 1 6例病人均行钡餐造影检查 ,1 3例明确诊断 ;2例同时行腹部彩色多普勒超声确诊 ;另 2例同时行血管造影 ,明确诊断 ;1 6例病人均先行内科保守治疗 ,其中 8例因治疗无效而行手术治疗 ,包括十二指肠空肠Roux en Y吻合术 5例 ,十二指肠血管前移术 2例 ,胃大部切除、胃空肠吻合术 1例。术后病人全部随访 ,均痊愈。结论　钡餐造影、腹部彩色多普勒超声检查是肠系膜上动脉压迫综合征简单、可靠的诊断手段 ,十二指肠空肠吻合术是其有效、易行的手术方式

Diagnosis and treatment of superior mesenteric artery syndrome

Objective To summary the experience in diagnosis and treatment of superior mesenteric artery (SMA) syndrome. Methods The clinical data of 16 patients admitted between 1983 and 2002 in our hospital were retrospectively analyzed. Results All 16 patients were subjected to barium meal examination. Thirteen patients had identified diagnosis, 2 cases received abdominal Doppler ulstrasound simultaneously to attain a definite diagnosis and 2 cases underwent arteriography examination simultaneously to get an acute diagnosis. All 16 cases accepted conservative treatment at first, of them, 8 cases accepted operative treatment, including 5 cases undergoing duodenojejunal Roux en Y anastomosis, 1 partial gastrectomy and gastroje junostomy, 2 partial duodenoctomy and end end anastomosis above the SMA. All patients after operation were cured and followed up. Conclusion Barium meal examination and Doppler altrasound examination are the simple, convenient and acute diagnostic methods for SMA syndrome. Duodenojejunostomy is a simple and effective procedure for the surgical management of SMA syndrome.