改良式脾-肾静脉分流术治疗门静脉高压综合征  

Modified splenorenal shunt in the treatment of portal hypertension syndrome

作　　者：苟建军[1] 冯留顺[1] 

机构地区：[1]郑州大学第一附属医院普通外科,郑州市450052

出　　处：《中华实用诊断与治疗杂志》2010年第8期761-762,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的：探讨改良式脾-肾静脉分流术治疗门静脉高压综合征的临床效果。方法：对70例行改良式脾-肾静脉分流术患者采用腹主动脉前脾静脉和肾静脉吻合术,观察分流前、后自由门静脉压力、食管胃底曲张静脉情况、再出血、肝性脑病及吻合口通畅情况。结果：分流后自由门静脉压力平均下降10 cm H2O;51例术后食管胃底静脉曲张减轻或消失,7例术后发生上消化道出血,7例出现肝性脑病,长期随访（8~9年）36例,23例吻合口通畅。结论：改良式脾肾-静脉分流术是治疗门静脉高压综合征上消化道出血的有效方法。Objective To investigate the clinical effect of modified splenorenal shunt on portal hypertension syndrome.Methods Modified splenorenal shunt was preformed with end-to-side anastomosis of splenic vein and renal vein in front of the abdominal aorta in 70 patients.The free portal vein pressure was measured before and after the shunt.The gastroesohageal varices,rebleeding rate of upper digestive tract,the encehaloathy rate and the unobstructed rate of anastomotic stoma were observed.Results The free portal vein pressure was lowered by 10 cm H2O averagely.The gastroesohageal varices were ameliorated in 51 cases.Rebleeding of upper digestive tract occurred in 7 cases,and encehaloathy occured in 7 cases.Anastomotic stoma was unobstructed in 23 out of 36 patients with long-term follow-up survey.Conclusion Modified splenorenal shunt is an effective method for portal hypertension syndrome.

关 键 词：门静脉高压综合征 肝硬化 脾-肾静脉分流术 

分 类 号：R657.3[医药卫生—外科学]