论文部分内容阅读
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。
Objective To investigate surgical treatment of inferior vena cava tumors. Methods The clinical data of 11 patients with IVC tumors from May 2004 to June 2009 in Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology were retrospectively analyzed. Results All the patients underwent preoperative examination, which showed that the tumors in the inferior vena cava occupied space-occupying lesions and were undergone surgery. The tumors of 8 patients were completely resected and 3 patients underwent partial resection. One patient died of liver failure and 1 patient developed inferior cavity Venous thrombosis, the remaining 9 cases were discharged. During the follow-up period, one patient developed Budd-Chiari syndrome, while the remaining patients did not have obvious complications and tumor recurrence. Conclusion Surgical operation is the only effective treatment for IVC. Positive anticoagulation and antineoplastic treatment are very important part of the whole treatment.