浅析Rex手术的技术难点及实施条件  

Technical challenges and implementation considerations for Rex shunt

作　　者：张金山[1] Zhang Jinshan(Department of General Surgery,Affiliated Children’s Hospital,Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]首都儿科研究所附属儿童医院普通外科,北京100020

出　　处：《临床小儿外科杂志》2025年第1期86-90,共5页Journal of Clinical Pediatric Surgery

基　　金：国家自然科学基金(82170679);首都卫生发展科研专项(首发2024-2-2101);北京市医师科学家培养项目(BJPSTP-2024-28)。

摘　　要：Rex手术自1992年被de Ville首次应用于治疗肝外门静脉梗阻(extra-hepatic portal venous obstruction,EHPVO)以来,已经开展了三十余年。尽管其已经是一种非常成熟的手术技术,但能开展该技术的中心数量依然有限。关于哪些原因可能导致开展Rex手术的医院较少以及成功实施Rex手术需要哪些条件等问题,既往暂无文献对此进行系统分析。为此,本文通过总结作者自身开展Rex手术的临床经验和国内外的应用情况,详细分析Rex手术的技术难点和应用进展,为已经开展Rex手术、初步应用该技术和准备开展该技术的医师、科室或医院提供一定的借鉴。As a well-established surgical approach for extrahepatic portal venous obstruction(EHPVO),Rex shunt has been employed for over three decades since its introduction by de Ville in 1992.Despite its maturity,the number of centers performing Rex surgery remains limited.This review focused upon this gap through systematically analyzing the technical complexities and implementation requirements for successful Rex shunt.Drawing upon personal clinical experience and a review of both domestic and international literature,it discussed technical challenges associated with Rex shunt and its current application landscape.It served as valuable references for surgeons,departments and hospitals already performing,considering or preparing to implement Rex shunt.

关 键 词：肝外门静脉梗阻 Rex手术 外科手术 儿童 

分 类 号：R47[医药卫生—护理学]