| 肝包虫病合并门静脉海绵样变性的研究进展 |
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| 引用本文： | 王茂林,邵英梅. 肝包虫病合并门静脉海绵样变性的研究进展[J]. 临床肝胆病杂志, 2021, 37(4): 965-968 |
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| 作者姓名： | 王茂林 邵英梅 |
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| 作者单位： | 新疆医科大学第一附属医院 肝胆包虫病外科,乌鲁木齐830054;新疆医科大学第一附属医院 肝胆包虫病外科,乌鲁木齐830054;新疆医科大学第一附属医院 消化血管外科中心,乌鲁木齐830054 |
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| 基金项目： | 国家自然科学基金地区科学基金项目(8196080421)。 |
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| 摘 要： | 肝包虫病灶压迫侵犯门静脉可引起门静脉海绵样变性(CTPV),其手术难度大,风险高,常规肝切除不能有效根治。简述了肝包虫病合并CTPV的病因、分型、临床表现、辅助检查,总结了其治疗策略。认为肝包虫病合并CTPV的治疗应在包虫病灶切除的基础上有效缓解门静脉高压,血管重建、离体肝切除和自体肝移植的应用在根治性切除方面发挥了重要作用。
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| 关 键 词： | 棘球蚴病 肝 门静脉海绵样变性 诊断 治疗学 |
Research advances in hepatic echinococcosis with cavernous transformation of the portal vein |
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| WANG Maolin,SHAO Yingmei. Research advances in hepatic echinococcosis with cavernous transformation of the portal vein[J]. Chinese Journal of Clinical Hepatology, 2021, 37(4): 965-968 |
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| Authors: | WANG Maolin SHAO Yingmei |
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| Affiliation: | (Department of Liver Hydatid Disease,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Digestive and Vascular Surgery Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China) |
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| Abstract: | Compression by hepatic hydatid lesions may invade the portal vein and cause cavernous transformation of the portal vein(CTPV),which has difficulties and high risks in surgery,and conventional hepatectomy cannot achieve radical treatment.This article reviews the etiology,classification,clinical manifestations,and auxiliary examinations of hepatic echinococcosis with CTPV and summarizes the treatment strategies for this disease.It is believed that the treatment of hepatic echinococcosis with CTPV should combine the resection of hydatid lesions with the effective relief of portal hypertension,and revascularization and ex-vivo liver resection with auto-transplantation play an important role in radical resection. |
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| Keywords: | Echinococcosis,Hepatic Cavernous Transformation of Portal Vein Diagnosis Therapeutics |
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