摘要
目的 为了进一步完善肝硬化门脉高压症保留脾脏的术式。方法 创用保留脾下极脾大部切除 ,脾去被膜化残脾大网膜腹膜后固定术。结果 临床应用 2 5例 ,无手术死亡、术后无呕血、便血发生 ,腹水消退 ,肝功能显改善 ,经B型超声、CT、免疫功能等监测 ,证实保留脾脏吞噬功能良好 ,无脾亢复发。
Objective To improve the operation method of reserving the spleen to treat the hepatocirrhosis and portal hypertension.Methods We adopt subtotal splenecctomy of reserving the underpart of the spleen and fixing the remained demembraned spleen and the great omentum to the post peritoneum.Results No operative mortality,no heamatemesis and no bloody stool were found after operation.Niver function improved apparently.The function of the remained spleen is fine and no recurrence of stenic has been found.Conclusion Subtotal splenectomy of reserving the underpart of the spleen and fixing the remained spleen and the great omentum to the post peritoneum is an ideal operation method to treat hepatocirrhosis and portal hypertension.
出处
《医学新知》
CAS
2003年第2期71-72,共2页
New Medicine
关键词
治疗
肝硬化
脾大部切除
脾去被膜化
脾大网膜腹膜后固定术
门脉高压
Subtotal splenectomy of reserving the underpart of the spleen
Remained demembraned spleen
Fixing the spleen and the great omentum to the post peritoneum
Hepatocirrhosis
Portal hypertension
