| 门静脉海绵样变的手术治疗 |
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| 引用本文： | 杨灵,肖渝清,陈矢明,张志刚.门静脉海绵样变的手术治疗[J].肝胆外科杂志,2003,11(2):103-105. |
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| 作者姓名： | 杨灵 肖渝清 陈矢明 张志刚 |
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| 作者单位： | 1. 广东中山市陈星海医院普通外科,中山,528415
2. 四川成都市第三人民医院普通外科,成都,610000 |
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| 摘 要： | 目的 探讨门静脉海绵样变的手术治疗方式。方法 对9例门静脉海绵样变患者的14次手术方式进行回顾分析。结果 1例患者剖腹探查无法手术，其余13次手术中，分流手术5次，断流手术8次，对于再出血时间的对比分析，断流手术发生再出血时间长，并与断流的彻底性有关。结论 对于门静脉海绵样变的手术方式以彻底的断流术为佳，最好行贲门周围血管离断 食道下段 胃底切除再吻合术。
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| 关 键 词： | 门脉高压 门静脉海绵样变 外科手术 |
| 文章编号： | 1006-4761(2003)02-0103-03 |
| 修稿时间： | 2002年9月17日 |
THE OPERATION TREATMENT OF CAVERNOUS TRANSFORMATION OF PROTAL VEIN |
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| YANG Ling,XIAO Yu qing,CHEN Shi min,et al..THE OPERATION TREATMENT OF CAVERNOUS TRANSFORMATION OF PROTAL VEIN[J].Journal of Hepatobiliary Surgery,2003,11(2):103-105. |
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| Authors: | YANG Ling XIAO Yu qing CHEN Shi min |
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| Institution: | YANG Ling,XIAO Yu qing,CHEN Shi min,et al.Department of Surgery,ChenXinHai Hospital,Zhongshan 528415,China) |
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| Abstract: | Objective To study the operation treatment of Cavermous Transformantion of Portal Vein(CTPV).Methods Data from 9 cases(14 operations) were retrospectively analyzed.Results 1 patient underwent exploration ventrotomy,the other 13 operations including 5 shunt operations and 8 portazygos disconnection operations.8 patients underwent splenectomy.The contrasted analysis showed that the rebleeding time can be porlonged in portazygos disconnection operation and correlated with the degree of protazygos disconnection.Conclusion The better operation treatment to CTPV is completely portazygos disconnection.PCDV and Phemister operation is the perfect choice. |
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| Keywords: | portal hypertention cavernous transformation of protal vein |
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