经皮经肝门静脉成形成功治疗儿童特发性门静脉海绵样变  

Successful management of cavernous transformation of portal vein in a child using percutaneous transhepatic portal vein recanalization by endovascular approach

作　　者：魏波[1] 吴浩[1] 张静漪[2] 谢小龙 向波[3] 李可为[3] WEI Bo;WU Hao;ZHANG Jingyi;XIE Xiaolong;XIANG Bo;LI Kewei(Department of Gastroenterology,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of Ultrasound,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of Pediatric Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院消化内科,成都610041 [2]四川大学华西医院超声科,成都610041 [3]四川大学华西医院小儿外科,成都610041

出　　处：《中国普外基础与临床杂志》2023年第4期397-402,共6页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川省科技计划项目重点研发项目(项目编号:2021YFQ0063);四川大学华西医院临床研究孵化项目(项目编号:2021HXFH020)。

摘　　要：目的总结经皮经肝门静脉成形成功治疗儿童特发性门静脉海绵样变的诊治经过和经验。方法回顾性分析于四川大学华西医院接受经皮经肝门静脉成形治疗的1例儿童特发性门静脉海绵样变患者的临床资料。结果经过多学科协作团队讨论后,笔者团队率先成功开展了介入下经皮经肝穿刺门静脉成形治疗儿童特发性门静脉海绵样变,手术总时间为1.5 h,术中出血约1 mL。经过术后9个月随访,患儿恢复良好,未再发生消化道出血等并发症,目前继续随访中。结论通过该病例的成功治疗,笔者认为介入下门静脉成形术是目前儿童门静脉海绵样变治疗措施中最符合生理的方案,有望成为该类疾病治疗方案的重要补充,甚至是首选措施。Objective To summarize the treatment and experience of percutaneous transhepatic portal vein recanalization by endovascular approach for treatment of cavernous transformation of the portal vein(CTPV)in a child.Method The clinical data of a child with idiopathic CTPV who underwent percutaneous transhepatic portal vein recanalization by endovascular approach were retrospectively analyzed.Results We described a novel percutaneous transhepatic portal vein recanalization approach that had successfully treated a child with idiopathic CTPV following a multidisciplinary team evaluation.The operation time was 1.5 h and blood loss was approximately 1 mL.The child recovered uneventfully at 9-month follow-up,without any clinical evidence of CTPV complications.Conclusion In light of our successful management,we can envision that the portal vein recanalization is an important therapeutic supplement for treating CTPV and will result in a paradigm change.

关 键 词：门静脉海绵样变 门静脉成形 介入治疗 

分 类 号：R725.7[医药卫生—儿科]