中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

布加综合征与妊娠

任维榕 祁兴顺 韩国宏

引用本文:
Citation:

布加综合征与妊娠

DOI: 10.3969/j.issn.1001-5256.2014.04.005
详细信息
  • 中图分类号: R575

Budd- Chiari syndrome and pregnancy

  • 摘要:

    布加综合征是一种少见的肝脏疾病,其与妊娠之间相互影响。系统论述了布加综合征与妊娠的关系,并指出了在疾病诊断和治疗中的注意事项。其一,妊娠是布加综合征的危险因素。对于妊娠期间出现门静脉高压和(或)下腔静脉高压表现的患者,应高度怀疑合并布加综合征。其二,布加综合征患者妊娠具有一定的风险。经治疗病情稳定的患者可以妊娠,但孕期和产后须严密监查,以防止血栓复发。其三,布加综合征可导致女性不孕。原因不明的不孕患者应行腹部超声及CT检查,以排除布加综合征的可能。

     

  • [1]VALLA DC.Primary Budd-Chiari syndrome[J].J Hepatol, 2009, 50 (1) :195-203.
    [2]TAO YQ, WANG P.Study on the significance of application of color Doppler ultrasound in evaluation of effect of intervention treatment in patients with Budd-Chiari sydrome[J].J Clin Exp Med, 2013, 12 (6) :413-415. (in Chinese) 陶艳清, 王萍.彩色多普勒超声在布加综合征介入治疗疗效评价中的应用价值[J].临床和实验医学杂志, 2013, 12 (6) :413-415.
    [3]VALLA DC.The diagnosis and management of the Budd-Chiari syndrome:Consensus and controversies[J].Hepatology, 2003, 38 (4) :793-803.
    [4]QI XS, WU FF, REN WR, et al.Thrombotic risk factors in Chinese Budd-Chiari syndrome patients.An observational study with a systematic review of the literature[J].Thromb Haemost, 2013, 109 (5) :878-884.
    [5]WANG ZG, LI CM, LI Z, et al.Evolution and prospects of Budd-Chiari syndrome[J].J Clin Hepatol, 2011, 27 (2) :113-115. (in Chinese) 汪忠镐, 李春民, 李震, 等.布-加综合征的进展与展望[J].临床肝胆病杂志, 2011, 27 (2) :113-115.
    [6]KESTEVEN P, HANLEY J, LOUGHNEY A.Pregnancy-associated venous thrombosis[J].Phlebology, 2012, 27 (Suppl 2) :s73-s80.
    [7]PERARNAU JM, BACQ Y.Hepatic vascular involvement related to pregnancy, oral contraceptives, and estrogen replacement therapy[J].Semin Liver Dis, 2008, 28 (3) :315-327.
    [8]DARWISH MURAD S, PLESSIER A, HERNANDEZ-GUERRA M, et al.Etiology, management, and outcome of the Budd-Chiari syndrome[J].Ann Intern Med, 2009, 151 (3) :167-175.
    [9]DAS HS, MOHAPATRA M, PANDA CR, et al.Profile of acute and chronic budd-chiari syndrome in coastal orissa, a 6-year prospective study[J].Hepatol Int, 2011, 5 (1) :363.
    [10]DELTENRE P, DENNINGER MH, HILLAIRE S, et al.Factor V Leiden related Budd-Chiari syndrome[J].Gut, 2001, 48 (2) :264-268.
    [11]DENNINGER MH, CHAIT Y, CASADEVALL N, et al.Cause of portal or hepatic venous thrombosis in adults:The role of multiple concurrent factors[J].Hepatology, 2000, 31 (3) :587-591.
    [12]DILAWARI JB, BAMBERY P, CHAWLA Y, et al.Hepatic outflow obstruction (Budd-Chiari syndrome) .Experience with 177patients and a review of the literature[J].Medicine, 1994, 73 (1) :21-36.
    [13]HOEKSTRA J, LEEBEEK FW, PLESSIER A, et al.Paroxysmal nocturnal hemoglobinuria in Budd-Chiari syndrome:findings from a cohort study[J].J Hepatol, 2009, 51 (4) :696-706.
    [14]KHUROO MS, DATTA DV.Budd-Chiari syndrome following pregnancy.Report of 16 cases, with roentgenologic, hemodynamic and histologic studies of the hepatic outflow tract[J].Am J Med, 1980, 68 (1) :113-121.
    [15]MALEKZADEH R, BIDAD K, RADMEHR A, et al.BuddChiari syndrome in Iran:An experience with 22 patients[J].Iranian J Med Sciences, 1994, 19 (3-4) :88-94.
    [16]MOHANTY D, SHETTY S, GHOSH K, et al.Hereditary thrombophilia as a cause of Budd-Chiari syndrome:A study from Western India[J].Hepatology, 2001, 34 (41) :666-670.
    [17]OKUDA H, YAMAGATA H, OBATA H, et al.Epidemiological and clinical features of Budd-Chiari syndrome in Japan[J].J Hepatol, 1995, 22 (1) :1-9.
    [18]RAUTOU PE, PLESSIER A, BERNUAU J, et al.Pregnancy:A risk factor for Budd-Chiari syndrome?[J].Gut, 2009, 58 (4) :606-608.
    [19]SAKR M, BARAKAT E, ABDELHAKAM S, et al.Epidemiological aspects of budd-chiari in Egyptian patients:A single-center study[J].World J Gastroenterol, 2011, 17 (42) :4704-4710.
    [20]SINGH V, SINHA SK, NAIN CK, et al.Budd-Chiari syndrome:Our experience of 71 patients[J].J Gastroenterol Hepatol, 2000, 15 (5) :550-554.
    [21]USKUDAR O, AKDOGAN M, SASMAZ N, et al.Etiology and portal vein thrombosis in Budd-Chiari syndrome[J].World J Gastroenterol, 2008, 14 (18) :2858-2862.
    [22]PLESSIER A, SIBERT A, CONSIGNY Y, et al.Aiming at minimal invasiveness as a therapeutic strategy for Budd-Chiari syndrome[J].Hepatology, 2006, 44 (5) :1308-1316.
    [23]JAMES A.Prevention and management of venous thromboembolism in pregnancy[J].Am J Med, 2007, 120 (10 Suppl 2) :s26-s34.
    [24]SUN ZH.Budd-Chiari syndrome and pregnancy[J].Guide China Med, 2011, 9 (24) :217-218. (in Chinese) 孙志华.布-加综合征与妊娠[J].中国医药指南, 2011, 9 (24) :217-218.
    [25]OUWENDIJK RJ, KOSTER JC, WILSON JH, et al.Budd-Chiari syndrome in a young patient with anticardiolipin antibodies:need for prolonged anticoagulant treatment[J].Gut, 1994, 35 (7) :1004-1006.
    [26]MARTINELLI P, MARUOTTI GM, COPPOLA A, et al.Pregnancy in a woman with a history of Budd-Chiari syndrome treated by portosystemic shunt, protein C deficiency and bicornuate uterus[J].Throm Haemost, 2006, 95 (6) :1033-1034.
    [27]VONS C, SMADJA C, FRANCO D, et al.Successful pregnancy after Budd-Chiari syndrome[J].Lancet, 1984, 324 (8409) :975.
    [28]SUN ZH, GAI MY.Clinical analysis of pregnancy with BuddChiari syndrome after intervention treatment[J].Chin J Clin Obstet Gynecol, 2000, 1 (2) :72-73. (in Chinese) 孙志华, 盖铭英.布-加氏综合征介入治疗后妊娠17例分析[J].中国妇产科临床杂志, 2000, 1 (2) :72-73.
    [29]RAUTOU PE, ANGERMAYR B, GARCIA-PAGAN JC, et al.Pregnancy in women with known and treated Budd-Chiari syndrome:Maternal and fetal outcomes[J].J Hepatol, 2009, 51 (1) :47-54.
    [30]SUN ZH.Interventional treatment for patient of Budd-Chiari syndrome with infertility[J].J TCM Univ of Hunan, 2011, 31 (4) :50-51. (in Chinese) 孙志华.Budd-Chiari综合征合并不孕介入治疗的临床分析[J].湖南中医药大学学报, 2011, 31 (4) :50-51.
    [31]DUAN HY, WU X, WANG ZG, et al.Mesojugular shunt for Budd-Chiari syndrome:A case report with long-term follow-up[J].Ann Vasc Surg, 2010, 24 (7) :953, e1-e5.
    [32]EBRAHIMI M.Treatment of the budd-chiari syndrome (BCS) caused by membranous obstruction of inferior vena cava with percutaneous transluminal angioplasty:Report of an amazing relation between undiagnosed BCS and infertility[J].J Invasive Cardiol, 2009, 21 (9) :e166-e167.
    [33]MAHAPATRA A, SHUKLA A, GROVER AS, et al.Hepatic venous outflow tract obstruction is associated with poor outcome of pregnancy[J].Gastroenterology, 2011, 140 (5) :s953.
    [34]SHRESTHA SM, OKUDA K, UCHIDA T, et al.Endemicity and clinical picture of liver disease due to obstruction of the hepatic portion of the inferior vena cava in Nepal[J].J Gastroenterol Hepatol, 1996, 11 (2) :170-179.
    [35]SUN ZH, ZHAO JX.Interventional treatment for 27 patientS of Budd-Chiari syndrome with infertility[J].Shandong Med J, 2002, 42 (8) :28. (in Chinese) 孙志华, 赵金旭.介入治疗布-加氏综合征合并不孕症27例临床观察[J].山东医药, 2002, 42 (8) :28.
    [36]YIN CY, YUAN J, SUN BZ.Budd-Chiari syndrome and infertility[J].Reproduct Contracept, 1997, 17 (2) :119-120. (in Chinese) 尹超英, 元健.Budd-Chiari综合征与不孕症[J].生殖与避孕, 1997, 17 (2) :119-120.
  • 加载中
计量
  • 文章访问数:  3148
  • HTML全文浏览量:  14
  • PDF下载量:  637
  • 被引次数: 0
出版历程
  • 收稿日期:  2013-07-04
  • 出版日期:  2014-04-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回