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目的探讨肠系膜静脉血栓形成 ( MVT)的诊断与治疗方法。方法对 1985年 1月～ 2 0 0 0年 9月收治的 14例 MVT的临床资料进行回顾性分析。结果术前 3例确诊 ,11例误诊。 1例行抗凝治疗 ,病情缓解出院 ,13例手术治疗 ,术后死亡 3例 ,2例遗留短肠综合征。结论 MVT缺乏特异性症状和体征。腹部 X线、B型超声波、彩色多普勒、CT、MRI有助于诊断。肠系膜血管造影有特异性诊断意义。手术治疗必须正确判断切除肠管的范围。使用抗凝药物是预防和治疗 MVT的重要措施
Objective To investigate the diagnosis and treatment of mesenteric vein thrombosis (MVT). Methods The clinical data of 14 patients with MVT admitted from January 1985 to September 2000 were retrospectively analyzed. Results 3 cases were diagnosed before operation and 11 cases were misdiagnosed. A routine anticoagulant therapy, the disease was relieved and discharged, 13 cases of surgical treatment, 3 cases of postoperative death, 2 cases left short bowel syndrome. Conclusions MVT lacks specific symptoms and signs. Abdominal X-ray, B-mode ultrasound, color Doppler, CT, MRI help diagnosis. Mesenteric angiography has specific diagnostic significance. Surgical treatment must correctly determine the scope of resection of the intestine. The use of anticoagulants is an important measure to prevent and treat MVT