| 肝前型门静脉高压症的诊断和治疗 |
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| 引用本文： | 杨永久,刘爽,高乃荣.肝前型门静脉高压症的诊断和治疗[J].肝胆外科杂志,2001,9(3):196-198. |
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| 作者姓名： | 杨永久 刘爽 高乃荣 |
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| 作者单位： | 1. 东南大学附属部中大医院胆胰外科
2. 辽宁省朝阳市中心医院 |
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| 摘 要： | 目的 探讨肝前型门静脉高压症的诊断和治疗方法的选择。方法 4例患者均有门脉高压症表现，经彩色Dop-pler超声诊断，并与手术结果进行对照。行脾切除门奇断流术1例；脾切除门体分流术2例；病变血管隔膜切除1例。结果 4例诊断正确，全部治愈。结论 肝前型门静脉高压症一般经彩色Doppler超声检查结合门脉高压症的临床表现等即或诊断，治疗一般以分流术为主，而病变血管矫正术和肠系膜上静脉－门静脉搭桥术术式则更为合理。
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| 关 键 词： | 门静脉高压症 诊断 治疗 |
| 文章编号： | 1006-4761(2001)03-0196-03 |
| 修稿时间： | 2001年2月25日 |
DIAGNOSIS AND TREATMENT OF PREHEPATIC PORTAL HYPERTENSION |
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| Yang Yongjiu,Liu Shuang,Gao Nairong.DIAGNOSIS AND TREATMENT OF PREHEPATIC PORTAL HYPERTENSION[J].Journal of Hepatobiliary Surgery,2001,9(3):196-198. |
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| Authors: | Yang Yongjiu Liu Shuang Gao Nairong |
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| Institution: | Yang Yongjiu,Liu Shuang,Gao Nairong. Department of Pancreatobiliary Surgery,Affiliated Zhongda Hospital,Southeast University,Nanjing 210009 |
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| Abstract: | Objective To explore the diagnosis and treatment of prehepatic portal hypertension.Methods 4 cases had the similar chinical manifestation,diagnosised by Color Doppler Ultrasound etc,and confirmed by the operation.Splenectomy and devascularization in 1 case,splenectomy and portosystemic shunt in 2 cases,membranotomy in 1 case.Results 4 cases diagnosised correctly and all survival.Conclusion Prehepatic portal hypertension can be diagnosised by clinical manifestation combine Color Doppler Ultrosound etc.To treat this disease,shunting may be a basic operation.But to rectify the pathological blood vessel and to do mesoportal shunting by autograft of blood vessel is more reasonable. |
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| Keywords: | Hypertension Portal vein Surgery |
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