摘要
目的 探讨肝前性门脉高压症的临床特点及治疗方法的选择。方法 2例非肝硬化性门脉纤维化 ,8例肝外门脉阻塞 ,隔膜切除 1例 ,自体血管行肠系膜上静脉→门静脉搭桥 1例 ,肠腔分流 3例 ,脾切除、脾肾分流 5例。结果 1例死亡 ,9例治愈。结论 肝前性门脉高压症与肝硬化门脉高压症在临床表现方面有许多不同 ,分流术可作为基本手术 ,病变血管的矫正术更合理。
Objective To approach the clinical tharacteristic and the selection of the treatment of prehepatic portal hypertension.Method 2 cases were non cirrhotic portal fibrosis and 8 cases were the extra hepatic portal venous obstruction.Membranotomy was performed in 1 case,Mesoportal shunt by autograft of blood vessel in 1 case,Mesocaval shunt in 3 cases,splenectomy and splenorenal shunt in 5 cases.Result 1 case died.9 cases survey.Conclusion There are many differences in clinical manifestation between prehepatic portal hypertension and cirrhotic portal hypertension.shunt may be a basic operation.To rectify the pathological blood vessel is more reasonable.
出处
《肝胆外科杂志》
2000年第1期21-22,共2页
Journal of Hepatobiliary Surgery
关键词
肝前
门脉高压症
分流术
治疗
Portal hypertension Clinical manifestation Operation
