联合断流术前后肝血流动力学的改变  

Analyzing the Change of Liver Hemodynamics after Sugiura's Operation

作　　者：杨子昂[1] 顾大镛[1] 吴勃[2] 陈可靖[2] 朱承漠[3] 

机构地区：[1]复旦大学附属中山医院普外科,上海200032 [2]复旦大学附属中山医院核医学科,上海200032 [3]上海第二医科大学附属瑞金医院核医学科,上海200025

出　　处：《中国临床医学》2001年第2期143-144,共2页Chinese Journal of Clinical Medicine

摘　　要：目的 :了解联合断流术前后肝血流动力学变化。方法 :用99mTc -植酸钠首次通过法检测门脉高压症患者及正常人的肝血流动力学指标 ,测定联合断流术前后的肝血流动力学 ,评价联合断流术在门脉高压症治疗中作用。结果 :门脉高压症患者有效肝血流量较正常人减少约 15 % ,门脉血流量与肝动脉血流量比值为 0 .2 :0 .8,正常人为 0 .6 :0 .4;联合断流术后肝有效血流量显著减少。结论 :99mTc -植酸钠首次通过法测定肝血流动力学是一种安全、无创、简易的方法 ,联合断流术对于减少肝血流量有重要作用。Objective: To analyze the change of liver hemodynamics after Sugiura's Operation. Methods: The first passing method after intravenous injection 99m Tc-PHY was used to analyze arterial and portal blood supplies to liver in patients with portal hypertension and volunteer to evaluate the accuracy and efficacy of Sugiura's Operation. Results: The hepatic blood flow of patients with portal hypertension was reduced 15% than normal. The fraction of portal and arterial blood in patients with portal hypertension was 0.2:0.8, and normal volunteer was 0.6:0.4. And we found the effectiveness of hepatic blood flow was markedly decreased after Sugiura's Operation. Conclusion: The first pass following intravenous injection of a 99m Tc-PHY may be a very helpful way to determine hepatic hemodynamics. And Sugiura's Operation is recommended.

关 键 词：门脉高压症 肝血流动力学 联合断流术 

分 类 号：R657.34[医药卫生—外科学]