摘要小儿门静脉海绵样变(cavernous transformation of portal vein,CTPV),是一种较罕见的小儿门静脉系统疾病,主要由于先天性或后天性因素所致门静脉主干或分支完全或部分阻塞,从而引起门静脉压力增高,机体为减轻门静脉高压在肝门区形成大量侧支循环血管丛,从而引起门静脉高压[1]。形成门静脉高压后,主要表现为门静脉高压症和继发的食管胃底静脉曲张破裂和(或)伴有门静脉高压性胃病,患者可反复呕血和柏油便,
3de Ville de Goyet J, Clapuyt P,Otte JB. Extrahilar mesentericoleft portal shunt to relieve extrahepatic portal hypertension af ter partial liver transplant. Transplantation, 1992,53 ( 1 ) : 231- 232.
4de Ville de Goyet J, Gibbs P, Clapuyt P, et al. Original extrahilar approach for hepatic portal revascularization and relief of extrahepatic portal hypertension related to later portal vein thrombosis after pediatric liver transplantation. Long term results. Transplantation, 1996,62(1 ) : 71-75.
5de Ville de Goyet J, Alberti D, Clapuyt P, et al. Direct bypassing of extrahepatic portal venous obstruction in children: a new technique for combined hepatic portal revascularization and treatment of extrahepatic portal hypertension. J Pediatr Surg, 1998,33(4) :597-601.
6Bambini DA, Superina R, Almond PS, et al. Experience with the Rex shunt (mesenterico-left portal bypass) in children with extrahepatic portal hypertension. J Pediatr Surg, 2000, 35 (1): 13- 18.
7Rangari M,Gupta R,Jain M, et al. Hepatic dystunction in patients with extrahepatic portal venous obstruction. Liver Int, 2003,23 (6) : 434-439.
8Superina R,Bambini DA, Lokar J, et al. Correction of extrahepatic portal vein thrombosis by the mesenteric to left portal vein bypass. Ann Surg,2006,243(4):515-521.
9Mack CL, Superina RA, Whitington PF. Surgical restoration of portal flow corrects procoagulant and anticoagulant deficiencies associated with extrahepatic portal vein thrombosis. J Pediatr surg, 2003,142 (2) : 197-199.
10Stringer MD. Improved body mass index after mesenterico-portal bypass. Pediatr Surg Int, 2007,23 (6) : 539-543.