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改良的限制性门腔静脉侧侧分流术
引用本文:杨映弘,刘曙光,刘忠,蔺宗义,任洪伟.改良的限制性门腔静脉侧侧分流术[J].肝胆胰外科杂志,2002,14(4):198-199.
作者姓名:杨映弘  刘曙光  刘忠  蔺宗义  任洪伟
作者单位:四川攀枝花市中心医院,普外科,四川,攀枝花,617067;
摘    要:目的: 探讨防止限制性门腔静脉侧侧分流术后吻合口扩大的方法. 方法: 对16例肝硬化门脉高压症病人行限制性门腔静脉分流术时,采用不吸收线连续缝合吻合口形成自然的限制环. 结果: 所有病例随访6~39个月,随访率达100%.术后未有再出血和肝性脑病的发生,经彩超检查发现术后吻合口无扩大,术后肝功能均有不同程度的改善(P<0.001). 结论: 改良的限制性门腔静脉侧侧分流术是治疗肝硬化门脉高压症的有效方法.

关 键 词:高血压  门静脉  肝硬化  门腔分流术  外科  改良  
文章编号:1007-1954(2002)04-0198-02
收稿时间:2001-12-11
修稿时间:2001年12月11

Modified limited side-to-side portalcaval shunt
YANG Ying hong,LIU Shu guang,LIU Zhong,et al..Modified limited side-to-side portalcaval shunt[J].Journal of Hepatopancreatobiliary Surgery,2002,14(4):198-199.
Authors:YANG Ying hong  LIU Shu guang  LIU Zhong  
Institution:YANG Ying hong,LIU Shu guang,LIU Zhong,et al. Department of Surgery,the Central Hospital of Panzhihua City,Panzhihua 617067
Abstract:Objective:To explore the method for preventing calibers of side to side portalcaval shunt from dilating.Methods:Sixteen patients with cirrhosis and portal hypertension experienced anastomoses in which side to side portalcaval shunt was sutured continuously with non absorbable suture.Results:All patients had six to thirty nine months follow up,follow up rate is 100%. There are no postoperative encephalopathy and recurrent variceal hemorrhage. Calibers of side to side portalcaval shunt was not dilated with color ultrasound examinations and postoperative liver functions were improved(P<0.001).Conclusion:Modified limited side to side portalcaval shunt is an effective method to treat cirrhosis and portal hypertension.
Keywords:hypertension  portal  cirrhosis  portalcaval shunt  surgical  improve
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