门奇断流术和肠腔侧侧分流术治疗门脉高压症的探讨  

The investigation of PCDV and MC_(s-ss) in Portal hypertension

作　　者：宋燕[1] 张(?)平 谭岩[3] 

机构地区：[1]吉林大学中日联谊医院普通外科,吉林长春130031 [2]武警吉林省边防总队医院,吉林长春130051 [3]吉林大学第一医院中心研究室,吉林长春130021

出　　处：《吉林医学》2002年第4期203-204,共2页Jilin Medical Journal

摘　　要：目的:探讨门奇断流术和肠腔侧侧分流术治疗门脉高压症的疗效。方法;采用先进的实验方法,吲哚氰绿负荷实验对门脉高压症患者分别行门奇断流术和肠腔侧侧分流术,进行手术前、后肝血流量、KICG、FPP、胃壁压的测定。结果:门奇断流手术前、后肝血流量、KICG、FPP无明显变化,胃壁压手术后较手术前有所增高,平均增高8.7％;肠腔侧侧分流手术前、后肝血流量、KIOG均有不同程度的降低,平均降低17％。结论:门奇断流术对肝血流量和肝机能无明显影响;肠腔侧侧分流术对肝血流量和肝机能有一定影响,但影响并不很大。Objective To study the change of hepatic bloocl dynamic in portal hypertension undergoing paracardial devascularigation (PCDV) and side to side Mesocaval shunt(MCn-m). Method Using Indocynine Green (ICG) technique at preoperative and postoperative Indocynine Green Clearance rate (KICG). Hepative Blood Flow (HBF), were measure in patients with portal hypertension undergoing PCDV and M, as well as the pre and post - operative change of free protal pressure (FPP) and venous pressure of gastric wall. Results There were no significant change in pre- and post- operative level of KICG, HBF, FPP in PCDV group significant decrease of KICG HBF.HBF decrease with and average of 17.71% after MC;A significant increase of venous pressure of the gastric wall after PCDV. Conclusion There were no significant influence to the heptic blood dynamic in PCDV;There were slight decrease of HBF in MC;A significant increase of venous pressure of the gastric wall after PCDV.

关 键 词：治疗 门脉高压症 门奇断流 腔肠侧侧分流 吲哚氰绿 

分 类 号：R657.34[医药卫生—外科学]