选择性远端脾腔静脉分流术治疗门静脉高压症  

Distal splenocaval shunt in 66 patients with portal hypertension

作　　者：蔡景修[1] 董家鸿[1] 顾红光[1] 别平[1] 王曙光[1] 孙文兵[1] 刘吉奎[1] 周永碧[1] 彭志明[1] 王敖川[1] 

机构地区：[1]第三军医大学西南医院肝胆外科中心

出　　处：《中华外科杂志》1998年第6期336-338,共3页Chinese Journal of Surgery

摘　　要：目的探讨远端脾腔静脉分流术治疗门静脉高压症的远期疗效。方法用远端脾静脉腔静脉直接吻合分流，并行脾胰断流和胃小弯侧门静脉奇静脉断流。结果分流术后，自由门静脉压平均下降０５３ｋＰａ，并仍维持在３２９±０４４ｋＰａ较高水平；再出血率７５８％；腹水发生率２７３０％；无明显肝性脑病发生；手术病死率７５８％；５年生存率７０４５％。结论远端脾腔静脉分流术是一种较理想的选择性分流术式。Objective To evaluate the long term results and operative experience of distal splenocaval shunt. Method 66 patients with portal hypertension were treated by distal splenocaval shunt. Of these patients 57 were males and 9 females with a mean age of 39 years. All the patients were followed up. Result The operative mortality rate was 7 58%. Only 5 patients experienced recurrent bleeding (7 58%).None of the patients had clinical hepatic encephalopathy.Five year survival rate was 70 45%. Conclusion Distal splenocaval shunt is suitable for portal hypertension patients with hepatopetal portal flow.

关 键 词：门脉高压症 静脉分流术 脾腔 

分 类 号：R657.340.5[医药卫生—外科学]