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目的：采用不同的手术方法对７１例布加综合征进行治疗。本文就此组病人的治疗结果进行总结，以探讨几种常用术式的优缺点及适应症。方法：依靠病理类型的不同而采用不同的治疗方法。其中经皮球囊扩张２６例；内置金属支架２０例；隔膜切除、心包片成形术１４例；闭塞段切除、人工血管原位移植１２例；各种转流手术１６例。结果：随访有５３例显效，７例复发。结论：经皮球囊扩张术主要适用于隔膜型及短段狭窄型，而隔膜切除、心包片成形术有被球囊导管扩张术取代的趋势，闭塞段切除、人工血管原位移植则能克服以往术式的缺点，对于短段闭塞型及重度下腔静脉狭窄型有良好疗效。
Objective: To treat 71 cases of Budd-Chiari syndrome with different surgical methods. This article summarizes the treatment outcomes of this group of patients to explore the advantages, disadvantages, and indications of several commonly used surgical procedures. Methods: Different treatments are used depending on the type of pathology. There were 26 cases of percutaneous balloon dilatation; 20 cases with built-in metal stents; 14 cases with diaphragm resection and pericardioplasty; 12 cases with occluded segment resection and artificial vascular transplantation; 16 cases with various bypass operations. Results: 53 cases were markedly effective in follow-up and 7 cases recurred. Conclusion: Percutaneous balloon dilatation is mainly applicable to diaphragm type and short segment stenosis type. Membrane resection and pericardioplasty are replaced by balloon catheter dilation. Occlusion segment resection and artificial blood vessel orthotopic transplantation can overcome The shortcomings of previous surgical procedures have a good effect on short segment occlusion and severe inferior vena cava stenosis.