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门静脉高压症脾切除术后自体脾移植的应用
引用本文:阮长乐,贾淑娴,李兆亭,于振海,贾士铨,康福.门静脉高压症脾切除术后自体脾移植的应用[J].山东大学学报(医学版),1985(2).
作者姓名:阮长乐  贾淑娴  李兆亭  于振海  贾士铨  康福
作者单位:山东省千佛山医院,山东省千佛山医院,山东省千佛山医院,山东省千佛山医院,核医学教研室,核医学教研室
摘    要:为15例门静脉高压症惠者做了自体脾移植,进行了血小板、IgM、IgG的检测并在术后三个月及一年行核素γ照相,结果显示在术后第4周血小板恢复正常,核素γ照相也不同程度地显示出功能性脾片。本文认为用大脾片缝合于左半侧大网膜并固定于脾床处的脾移植法效果较好。

关 键 词:门静脉  门静脉高压症  脾切除术  移植  自体

AUTOTRANSPLANTATION OF SPLEEN IN THE TREATMENT OF PORTAL HYPERTENSION
Yuan Changle.AUTOTRANSPLANTATION OF SPLEEN IN THE TREATMENT OF PORTAL HYPERTENSION[J].Journal of Shandong University:Health Sciences,1985(2).
Authors:Yuan Changle
Institution:Shandong Qian Fu Shan Hospital
Abstract:Fifteen patients were operated on for hypersplenism and were deemed suitable candidates for autotransplantation of splenic tissue. In each, thinly sliced segments of spleen were placed in a previously fashioned omental pouch. All patients survived without complications. Five of them were randomly selected and compared with other five alike cases without autotransplantation. Postoperative studies included platelet counts, determination of serum immunoglobulin levels, PHA skin test, E-Rosette formation test, and splenic scans. Scans at 12 weeks confirmed the presence of functioning splenic tissue. Autotransplantation of the spleen is a safe method for preserving splenic function when total splenectomy is mandatory for hypersplenism.
Keywords:Portal vein  Portal hypertension  Splenectomy  Transplantation  autologous  
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