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可溶性P-选择素对肝硬化门静脉高压术后门静脉血栓形成的影响
引用本文:邓鹏,邓美海,汤照峰,钟跃思,胡昆鹏,许瑞云. 可溶性P-选择素对肝硬化门静脉高压术后门静脉血栓形成的影响[J]. 岭南现代临床外科, 2007, 7(5): 328-330
作者姓名:邓鹏  邓美海  汤照峰  钟跃思  胡昆鹏  许瑞云
作者单位:南昌大学第三附属医院普外科,330008;中山大学附属第三医院肝胆外科,广州,510630
基金项目:广东省科技计划基金项目(2004B35001007)
摘    要:目的探讨可溶性P-选择素对肝硬化门静脉高压症术后门静脉血栓形成的影响。方法检测乙肝肝硬化患者在门静脉高压症围手术期血小板的数量及反映血小板功能的可溶性P-选择素水平的动态变化,比较其在有门静脉血栓形成组患者及无血栓形成组患者间的差异。结果血栓形成组患者及无血栓形成组患者间,血小板数量无显著差异,而可溶性P-选择素水平在术后第4~6天有显著性差异(P<0.05)。结论乙肝肝硬化患者在行门静脉高压症手术后,血小板功能的变化对门静脉血栓形成可能起着重要的作用。

关 键 词:门静脉高压症  门静脉血栓形成  脾切除术  血小板  可溶性P-选择素
文章编号:1009-976X(2007)05-0328-03
修稿时间:2007-08-15

Influence of sP-selectin on portal vein thrombosis after cirrhotic portal hypertension surgery
DENG Peng,DENG Meihai,TANG Zhaofeng,ZHONG Yuesi,HU Kunpeng,XU Ruiyun. Influence of sP-selectin on portal vein thrombosis after cirrhotic portal hypertension surgery[J]. Lingnan Modern Clinics in Surgery, 2007, 7(5): 328-330
Authors:DENG Peng  DENG Meihai  TANG Zhaofeng  ZHONG Yuesi  HU Kunpeng  XU Ruiyun
Affiliation:DENG Peng, DENG Meihai, TANG Zhaofeng, ZHONG Yuesi, HU Kunpeng, XU Ruiyun 1.Department of General Surgery, Affiliated Hospital, Nanchang university, Nanchang 330008; 2.Department of Hepato-biliary Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630
Abstract:Objective To investigate the influence of sP-selectin on portal vein thrombosis(PVT) after portal hypertension surgery in liver cirrhosis. Methods 52 patients were undergone surgery for portal hypertension in hepatitis B associated with cirrhosis. The dynamic changes of perioperative quantity of platelets and the level of sP-selectin were monitored,and the difference of these index were analyzed between the thrombosis and non-thrombosis group. Results There were no difference of the quantity of platelets between two groups,but there were significant difference in the level of sP-selectin 4-6 days postoperatively(P<0.05. Conclusion The change of function of platelets could play more important role in PVT formation after portal hypertension operation in hepatitis B associated with cirrhosis.
Keywords:Portal hypertension  Portal vein thrombosis  Splenectomy  Platelet  Soluble P-selectin
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