门静脉海绵样变性的诊治进展  

Advances in the diagnosis and treatment of cavernous transformation of the portal vein

作　　者：薛文豪 化召辉[1] 李震[1] 汪忠镐[2] XueWenhao;Hua Zhaohui;Li Zhen;Wang Zhonggao(Department of Endovascular Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Vascular Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]郑州大学第一附属医院腔内血管外科,郑州450052 [2]首都医科大学宣武医院血管外科,北京100053

出　　处：《中华血管外科杂志》2024年第2期122-128,共7页Chinese Journal of Vascular Surgery

基　　金：国家自然科学基金项目(82370503)。

摘　　要：门静脉海绵样变性(CTPV)是指门静脉由于原发或继发因素导致门静脉回流受阻,门静脉为增加入肝血量及降低门静脉压力而产生的代偿性变化,表现为主干消失,代之形成大量侧支循环。近年来随着介入技术和器械的发展,对于CTPV的诊治产生了新的认识和观点,本综述主要针对门静脉血栓形成所导致的CTPV进行讨论,并对不同类型CTPV的治疗进行分析。Cavernous transformation of the portal vein(CTPV)refers to the compensatory changes in the portal vein to increase blood inflow to the liver and to reduce portal pressure due to the portal venous inflow obstruction caused by primary or secondary factors.This is manifested by the disappearance of the main trunk compensated by the formation of numerous collateral circulations.In recent years,with the development of interventional techniques and devices,new insights and perspectives regarding the diagnosis and treatment of CTPV have emerged.This review focuses on CTPV caused by portal vein thrombosis and analyzes the treatment of different types of CTPV.

关 键 词：门静脉海绵样变性 肝硬化 门静脉高压 经颈静脉肝内门体分流术 介入 

分 类 号：R575.2[医药卫生—消化系统]