间接门静脉造影对诊治肝前型门静脉高压症的意义

目的：探讨间接门静脉造影对诊断肝前型门静脉高压症以及对手术治疗的指导意义。方法：回顾分析近3年来收治的肝前型门脉高压症11例患者的临床资料，依照间接门静脉造影和/或彩超结果，全部确定为肝前型门脉高压症。施肠系膜上静脉-下腔静脉转流术5例，门静脉-下腔静脉转流术1例，脾切除、脾静脉-肾静脉转流术2例，肠系膜上静脉门静脉探查术、门奇静脉断流术1例，未行手术2例。结果：经转流手术治疗的患者术后脾亢消失，未再发生上消化道出血。结论：间接门静脉造影检查是诊断肝前型门脉高压症的金标准，对选择手术治疗方法有指导意义。

Significance of indirect portal venography in the diagnosis and management of prehepatic type portal hypertension

ObjectiveTo explore the clinical significance of arterial portography in the diagnosis an d management of prehepatic type portal hypertension(PHPHT). Met hodsBetween 2000 to 2002, all the 11 patients with PHPHT were dia gnosed by angiography and B type ultrasounography. Different operations were par formed including mesocaval shunt in 5 patients,portal-vena cava shunt in 1, splenorenal shunt in 2,and portoazygos venous disconection in 1. Two patien ts were not operated. Results Nine cases undergoing surgical operations had satisfactory outcome. Conclusions PHPHT can be correctly diagnosed by indirect portal venography which is important for the choice of operation.