Clinical study on individual treatment of Budd-Chiari syndrome

Abstract

Objective To study the individual treatment of different type of Budd-Chiari syndrome(B-CS).Methods The clinical datas of 173 cases of B-CS treated by surgery were retrospectively analyzed.Results Based on color doppler ultrasonography and 64 Multislice CT.all patients with BCS were classified into 3 types(5 subtypes).Surgical treatment methods were as following:percutaneous transluminal angioplasty(PTA)and/or stenting of the inferior vena cava(IVC)in 59 cases,21 cases were performed radical resection of membrance and thrombus,inferior vena cava bypass(Among them,7 eases and 18 cases were performed cavocaval shunt and cavoatrial shunt respectively).Thirty-six cases were performed mesocaval shunt,20 cases were performed splenocaval shunt.Six cases were performed splenoatrial shunt,6 cases were performed splenopneumopexy,10 cases were performed combined operation(mesocaval shunt combined with PTA and stenting of the IVC).Complication rate was 10.4%(20/173),perioperation death rate was 2.31%.One hundred and twenty-two patients were followed-up for 6 months to 5years.In 83.60%(102/122)of patients,the results were successful,but the recurrence rate was 7.76%,12.5%, respectively at 1 and 5 year after the operation.Conclusions There are various treatments of BCS,individual scheme should be advocated according to different clinicopathologic types,levels of inferior vena cava hypertension or portal hypertenion and general condition of the patients. Key words: Budd-Chiari syndrom; Individual; Treatment