| 选择性远端脾腔静脉分流术治疗门静脉高压症 |
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| 作者姓名： | Cai J Dong J Gu H Bie P Wang S Sun W Liu J Zhou Y Peng Z Wang A |
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| 作者单位： | 第三军医大学西南医院肝胆外科中心 |
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| 摘 要： | 目的探讨远端脾腔静脉分流术治疗门静脉高压症的远期疗效。方法用远端脾静脉腔静脉直接吻合分流,并行脾胰断流和胃小弯侧门静脉奇静脉断流。结果分流术后,自由门静脉压平均下降０５３ｋＰａ,并仍维持在３２９±０４４ｋＰａ较高水平;再出血率７５８％;腹水发生率２７３０％;无明显肝性脑病发生;手术病死率７５８％;５年生存率７０４５％。结论远端脾腔静脉分流术是一种较理想的选择性分流术式。
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| 关 键 词： | 高血压.门静脉 肝硬化 腹腔静脉分流术 |
Distal spleno-caval shunt in 66 patients with portal hypertension |
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| Cai J,Dong J,Gu H,Bie P,Wang S,Sun W,Liu J,Zhou Y,Peng Z,Wang A.Distal spleno-caval shunt in 66 patients with portal hypertension[J].Chinese Journal of Surgery,1998,36(6):336-338. |
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| Authors: | Cai J Dong J Gu H Bie P Wang S Sun W Liu J Zhou Y Peng Z Wang A |
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| Institution: | Hepatobiliary Surgery Center, Southwestern Hospital, Third Military Medical University, Chongqing 400038. |
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| Abstract: | Objective To evaluate the long term results and operative experience of distal splenocaval shunt. Method 66 patients with portal hypertension were treated by distal splenocaval shunt. Of these patients 57 were males and 9 females with a mean age of 39 years. All the patients were followed up. Result The operative mortality rate was 7 58%. Only 5 patients experienced recurrent bleeding (7 58%).None of the patients had clinical hepatic encephalopathy.Five year survival rate was 70 45%. Conclusion Distal splenocaval shunt is suitable for portal hypertension patients with hepatopetal portal flow. |
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| Keywords: | Hypertension portal Liver cirrhosis Peritoneovenous shunt |
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