肝前型门静脉高压症的诊断和治疗  

DIAGNOSIS AND TREATMENT OF PREHEPATIC PORTAL HYPERTENSION

作　　者：杨永久[1] 刘爽 高乃荣[1] 

机构地区：[1]东南大学附属部中大医院胆胰外科,南京210009 [2]辽宁省朝阳市中心医院,122000

出　　处：《肝胆外科杂志》2001年第3期196-198,共3页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨肝前型门静脉高压症的诊断和治疗方法的选择。方法　 4例患者均有门脉高压症表现 ,经彩色Doppler超声诊断 ,并与手术结果进行对照。行脾切除门奇断流术 1例 ;脾切除门体分流术 2例 ;病变血管隔膜切除 1例。 结果　 4例诊断正确 ,全部治愈。结论　肝前型门静脉高压症一般经彩色Doppler超声检查结合门脉高压症的临床表现等即可诊断 ,治疗一般以分流术为主 ,而病变血管矫正术和肠系膜上静脉 门静脉搭桥术术式则更为合理。Objective To explore the diagnosis and treatment of prehepatic portal hypertension.Methods 4 cases had the similar chinical manifestation,diagnosised by Color Doppler Ultrasound etc,and confirmed by the operation.Splenectomy and devascularization in 1 case,splenectomy and portosystemic shunt in 2 cases,membranotomy in 1 case.Results 4 cases diagnosised correctly and all survival.Conclusion Prehepatic portal hypertension can be diagnosised by clinical manifestation combine Color Doppler Ultrosound etc.To treat this disease,shunting may be a basic operation.But to rectify the pathological blood vessel and to do mesoportal shunting by autograft of blood vessel is more reasonable.

关 键 词：门静脉高压症 诊断 治疗 

分 类 号：R657.34[医药卫生—外科学]