脾静脉一左肾上腺静脉分流术治疗青少年门静脉海绵样变相关的肝前型门静脉高压症  

Prehepatic portal hypertension secondary to cavernous transformation of portal vein treated by splenic vein-left adrenal venous shunting in young patients

作　　者：任昊[1] 戈小虎[1] 陈雄[1] 马志刚[1] 陈伦牮[1] 依玛木[1] 

机构地区：[1]新疆维吾尔自治区人民医院肝胆血管外科,乌鲁木齐830001

出　　处：《中华肝胆外科杂志》2013年第3期186-188,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨脾静脉一左肾上腺静脉分流术治疗青少年门静脉海绵样变相关的肝前型门静脉高压症。方法自2004年6月至2012年2月采用脾静脉一左肾上腺静脉吻合的分流方法治疗门静脉海绵样变相关的肝前型门静脉高压症患者9例，总结该术式的疗效。结果9例患者均顺利完成手术。无手术死亡，无消化道出血，无肝性脑病发生。患者术后1周出院。结论门静脉海绵样变相关的肝前型门静脉高压症青少年患者左肾上腺静脉常常增粗，选择脾静脉一左肾上腺静脉分流术是合理、简单的手术方式。Objective To evaluate the impact of splenic vein-left adrenal vein shunting on pre- hepatic portal hypertension caused by cavernous transformation of portal vein in young patients. Meth- ods From June 2004 to February 2012, 9 patients with prehepatic portal hypertension due to cavern- ous transformation of portal vein received splenic vein-left adrenal venous shunting. The clinical data were reviewed. Results The procedure was uneventful in all the patients. There was no mortality, re- current hemorrhage or hepatic encephalopathy on follow-up. The patients were discharged home on the 7th postoperative day. Conclusions In young patients with prehepatic portal hypertension second- ary to cavernous transformation ol portal vein, the left adrenal vein was often found to be large. Sple- no-adrenal shunting, utilizing the left adrenal vein as a conduit, represents an excellent option in se- lected cases.

关 键 词：脾肾分流术 外科 高血压 门静脉 

分 类 号：R657.3[医药卫生—外科学]