Study of surgical style of treating acute mesenteric venous thrombosis
- VernacularTitle:急性肠系膜静脉血栓形成的术式探讨
- Author:
Guanfeng YU
;
Jiangao YAO
;
Jun CHENG
;
Yunfeng HONG
;
Yuming WANG
;
Qiyu ZHANG
;
Hongqi SHI
;
Xiaolei CHEN
;
Xiaofeng DENG
- Publication Type:Journal Article
- From:
Chinese Journal of Practical Surgery
2001;21(3):154-155
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the best therapeutic methods for acute mesenteric venous thromboses(AMVT)with different degrees of intestinal ischemic lesions. Methods 6 cases of acute abdomen were preoperatively diagnosed as AMVT with imaging. After laparotomy, patients were classified as congestive lesion(n=3)and necrotic lesion(n=3)according to the degree of intestinal sichemia and were treated with mesenteric thrombectomy and bowel resection, respeetively. All cases received heparin and urokinase perioperatively. Results Of the 3 patients receiving mesenteric thrombectomy, 2 were cured and the other one with ischemic ascending colon was cured after right hemicolectomy due to the complication of colic dynamic ileus and perforation 10 days after thrombectomy. The other 3 patients recovered after bowel resection. Follow-up from 8 months to 6 years showed no recurrence. Conclusion Combined with anti-coagulation therapy, thrombectomy and bowel resection are rational and effective protocol for congestive lesion and necrotic lesion, respectively in AMVT patients.
