布加综合征的临床管理现状
DOI: 10.3969/j.issn.1001-5256.2022.07.005
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:周璀等负责调研整理文献,资料分析,撰写论文;沈波、曲颖等参与资料分析,修改论文;陆伦根等负责提出文章选题,拟定写作思路, 指导撰写文章并最后定稿。
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摘要: 布加综合征是一种由肝静脉流出道梗阻引起的的少见疾病,机体高凝状态是常见的病因,影像学检查是明确诊断的常用手段,目前的治疗以抗凝和血管成形为主。本文就布加综合征的临床表现、诊断及治疗现状等进行总结。
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关键词:
- Budd-Chiari综合征 /
- 疾病特征 /
- 诊断 /
- 治疗学
Abstract: Budd-Chiari syndrome is an uncommon disease due to hepatic venous outflow obstruction, and hypercoagulability of the body is the main etiology of this disease. At present, radiological examination is commonly used to make a confirmed diagnosis, and anticoagulant therapy and angioplasty are the main treatment methods. This article summarizes the clinical manifestations, diagnosis, and treatment of Budd-Chiari syndrome.-
Key words:
- Budd-Chiari Syndrome /
- Disease Attributes /
- Diagnosis /
- Therapeutics
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[1] XU K, YOU H, SU HY, et al. Clinical study and reclassification of the vascular lesion in patients with Budd-Chiari syndrome[J]. Chin J Radiol, 2003, 37(10): 896-900. DOI: 10.3760/j.issn:1005-1201.2003.10.008.徐克, 有慧, 苏洪英, 等. Budd-Chiari综合征血管病变的分型与临床研究[J]. 中华放射学杂志, 2003, 37(10): 896-900. DOI: 10.3760/j.issn:1005-1201.2003.10.008. [2] LI Y, DE STEFANO V, LI H, et al. Epidemiology of Budd-Chiari syndrome: A systematic review and meta-analysis[J]. Clin Res Hepatol Gastroenterol, 2019, 43(4): 468-474. DOI: 10.1016/j.clinre.2018.10.014. [3] KI M, CHOI HY, KIM KA, et al. Incidence, prevalence and complications of Budd-Chiari syndrome in South Korea: a nationwide, population-based study[J]. Liver Int, 2016, 36(7): 1067-1073. DOI: 10.1111/liv.13008. [4] GOEL A, MADHU K, ZACHARIAH U, et al. A study of aetiology of portal hypertension in adults (including the elderly) at a tertiary centre in southern India[J]. Indian J Med Res, 2013, 137(5): 922-927. [5] 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. DOI: 10.7326/0003-4819-151-3-200908040-00004. [6] MANCUSO A. Budd-Chiari syndrome in the West and the East: Same syndrome, different diseases[J]. Liver Int, 2019, 39(12): 2417. DOI: 10.1111/liv.14131. [7] SHARMA A, KESHAVA SN, EAPEN A, et al. An update on the management of Budd-Chiari syndrome[J]. Dig Dis Sci, 2021, 66(6): 1780-1790. DOI: 10.1007/s10620-020-06485-y. [8] ZHANG XM, LI YK, SHEN CY, et al. Preliminary study on etiology of Budd-Chiari syndrome through clinic and experiment[J]. Chin J Surg, 2010, (8): 569-572. DOI: 10.3760/cma.j.issn.0529-5815.2010.08.004.张小明, 李艳奎, 沈晨阳, 等. 布加综合征病因的临床和实验研究初探[J]. 中华外科杂志, 2010, (8): 569-572. DOI: 10.3760/cma.j.issn.0529-5815.2010.08.004. [9] INCHINGOLO R, POSA A, MARIAPPAN M, et al. Transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome: A comprehensive review[J]. World J Gastroenterol, 2020, 26(34): 5060-5073. DOI: 10.3748/wjg.v26.i34.5060. [10] FERRAL H, BEHRENS G, LOPERA J. Budd-Chiari syndrome[J]. AJR Am J Roentgenol, 2012, 199(4): 737-745. DOI: 10.2214/AJR.12.9098. [11] VALLA DC. Hepatic venous outflow tract obstruction etiopathogenesis: Asia versus the West[J]. J Gastroenterol Hepatol, 2004, 19(s7): S204-S211. DOI: 10.1111/j.1440-1746.2004.03642.x. [12] DARWISH MURAD S, VALLA DC, DE GROEN PC, et al. Determinants of survival and the effect of portosystemic shunting in patients with Budd-Chiari syndrome[J]. Hepatology, 2004, 39(2): 500-508. DOI: 10.1002/hep.20064. [13] DAS CJ, SONEJA M, TAYAL S, et al. Role of radiological imaging and interventions in management of Budd-Chiari syndrome[J]. Clin Radiol, 2018, 73(7): 610-624. DOI: 10.1016/j.crad.2018.02.003. [14] Interventional Group, Radiology Society, Chinese Medical Association. Guidelines of the interventional treatment for Budd-Chiari syndrome[J]. Chin J Radiol, 2010, 44(4): 345-349. DOI: 10.3760/cma.j.issn.1005-1201.2010.04.003.中华医学会放射学分会介入学组. 布加综合征介入诊疗规范的专家共识[J]. 中华放射学杂志, 2010, 44(4): 345-349. DOI: 10.3760/cma.j.issn.1005-1201.2010.04.003. [15] KHATRI G, MERRICK L, MILLER FH. MR imaging of hepatocellular carcinoma[J]. Magn Reson Imaging Clin N Am, 2010, 18(3): 421-450, x. DOI: 10.1016/j.mric.2010.08.002. [16] MA MT. Clinical application of ultrasonography in the diagnosis and differential diagnosis of Budd Chiari syndrome[D]. Taiyuan: Shanxi Medical University, 2012. DOI: 10.7666/d.y2127297.马敏涛. 超声在布加综合征诊断和鉴别诊断中的临床应用[D]. 太原: 山西医科大学, 2012. DOI: 10.7666/d.y2127297. [17] SHUKLA A, SHRESHTHA A, MUKUND A, et al. Budd-Chiari syndrome: consensus guidance of the Asian Pacific Association for the study of the liver (APASL)[J]. Hepatol Int, 2021, 15(3): 531-567. DOI: 10.1007/s12072-021-10189-4. [18] XUE H, LI WZ, MA FQ, et al. Current status of diagnosis and treatment of Budd Chiari syndrome[J]. J Clin Surg, 2020, 28(6): 593-595. DOI: 10.3969/j.issn.1005-6483.2020.06.030.薛挥, 李伟之, 马富权, 等. 布加综合征诊治现状[J]. 临床外科杂志, 2020, 28(6): 593-595. DOI: 10.3969/j.issn.1005-6483.2020.06.030.
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