中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (03): 243-245.

• 论著 • 上一篇    下一篇

下腔静脉肿瘤11例治疗体会

欧明辉，金    毕，李毅清，吕    平，欧阳晨曦，符晓阳，王建国   

  1. 华中科技大学同济医学院附属协和医院血管外科，湖北武汉430022
  • 出版日期:2011-03-01 发布日期:2011-05-30

  • Online:2011-03-01 Published:2011-05-30

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摘要：

目的    探讨下腔静脉肿瘤的外科治疗经验。方法    回顾性分析华中科技大学同济医学院附属协和医院血管外科2004年5月至2009年6月间11例下腔静脉肿瘤病人的临床资料。结果    全部病人术前检查提示下腔静脉内占位性病变且均接受手术，8例病人的肿瘤完整切除，3例行部分切除；术后1例死于肝功能衰竭，1例继发下腔静脉血栓，其余9例顺利出院。随访期间1例发展为布加综合征，其余未出现明显并发症及肿瘤复发。结论 外科手术是下腔静脉肿瘤唯一确定有效的治疗方法；术后积极抗凝、抗肿瘤治疗是整个治疗中非常重要的一部分。

关键词: 腔静脉, 平滑肌瘤, 平滑肌肉瘤

Abstract:

Surgical treatment of inferior vena cava tumor：a study of 11 cases        OU Ming-hui, JIN Bi, LI Yi-qing, et al. Department of Vascular Surgery，Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022，China.
Corresponding author：OU Ming-hui, E-mail：oumhmed@sina.cn
Abstract    Objective    To investigate the surgical treatment of inferior vena cava tumor．Methods    The clinical data of 11 cases of inferior vena cava tumor admitted between May 2004 and June 2009 in the Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology were analyzed retrospectively. Results    All the cases were found mass in inferior vena cava by type-B ultrasound，CTA  or MRA and performed operation. The tumors of  8 cases were removed completely and those of 3 cases were excised partly. After operation 1 case died of liver disfunetion. Another case was diagnosed inferior vena cava thrombosis. The other 9 cases recovered smoothly without major complications．During follow-up, 1 case was developed into Budd-Chiari syndrome in the end and the other 9 cases did not appear serious complications and tumor recurrence. Conclusion    Surgical intervention is the only effective measure for inferior vena cava tumor. To prevent the recurrence of the tumor, anticoagulation and antineoplaston are indispensable measures in the whole treatment process.

Key words: venae cavae, leiomyoma, leiomyosarcoma