| 限制性门-腔分流术中吻合技术的改进 |
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| 引用本文： | 王立胜,仇爱峰,王学斌,施育华,苗志龙,葛国侃,李磊.限制性门-腔分流术中吻合技术的改进[J].江苏医药,2011,37(8). |
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| 作者姓名： | 王立胜 仇爱峰 王学斌 施育华 苗志龙 葛国侃 李磊 |
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| 作者单位： | 东南大学医学院附属盐城医院普通外科,盐城市,224001 |
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| 摘 要： | 目的探讨附加限制环的改良限制性门-腔静脉分流治疗门静脉高压症的疗效。方法采用改良限制性门-腔静脉分流术治疗肝硬变门脉高压症患者26例。术中采用不吸收缝线连续缝合门-腔静脉吻合口前后壁,形成吻合口自然限制环,并外套硅胶限制环。术后定期随访肝功能和腹部超声。结果随访13~49个月,无再出血病例,无肝性脑病发生;1例出现顽固性腹水;术后6个月肝功能较术前明显改善(P<0.01)。术后门-腔静脉吻合口直径与术中吻合口直径无明显差异(P>0.05)。结论附加限制环的改良限制性门-腔静脉侧侧分流术可预防术后限制性分流吻合口的扩大,改善肝硬变门脉高压的症状。
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| 关 键 词： | 门静脉高压症 门-腔静脉分流术 |
A technical modification of anastomosis during limited side to side portocaval shunt for portal hypertension |
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| WANG Lisheng,QIU Aifeng,WANG Xuebing,et al..A technical modification of anastomosis during limited side to side portocaval shunt for portal hypertension[J].Jiangsu Medical Journal,2011,37(8). |
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| Authors: | WANG Lisheng QIU Aifeng WANG Xuebing |
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| Institution: | WANG Lisheng,QIU Aifeng,WANG Xuebing,et al.Department of General Surgery,Affiliated Yancheng Hospital,Southeast University Medical College,Yancheng 224001,CHINA |
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| Abstract: | Objective To evaluate the outcomes of modified anastomosis technique for side-to-side portocaval shunt in the patients with portal hypertension induced by liver cirrhosis.Methods The portocaval shunt was sutured continuously with non-absorbable suture and silicone tube of 3 cm long was used to ligate the side-to-side portocaval anastomosis in 26 cases with liver cirrhosis-induced portal hypertension.The patients were regulatory followed up including liver function and vascular Doppler ultrasound examination... |
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| Keywords: | Portal hypertension Portocaval shunt |
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