间接门静脉造影对诊治肝前型门静脉高压症的意义  

Significance of indirect portal venography in the diagnosis and management of prehepatic type portal hypertension

作　　者：吴继东[1] 汪忠镐[2] 王仕华[1] 靳裕峰[1] 曾嵘[1] 邵江[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院血管外科中心,北京100032 [2]浙江大学医学院附属第一医院血管外科,浙江杭州310003

出　　处：《中国普通外科杂志》2004年第1期37-39,共3页China Journal of General Surgery

摘　　要：目的　探讨间接门静脉造影对诊断肝前型门静脉高压症以及对手术治疗的指导意义。方法　回顾分析近 3年来收治的肝前型门脉高压症 11例患者的临床资料 ,依照间接门静脉造影和 /或彩超结果 ,全部确定为肝前型门脉高压症。施肠系膜上静脉 -下腔静脉转流术 5例 ,门静脉 -下腔静脉转流术 1例 ,脾切除、脾静脉 -肾静脉转流术 2例 ,肠系膜上静脉门静脉探查术、门奇静脉断流术 1例 ,未行手术 2例。结果　经转流手术治疗的患者术后脾亢消失 ,未再发生上消化道出血。结论　间接门静脉造影检查是诊断肝前型门脉高压症的金标准 。ObjectiveTo explore the clinical significance of arterial portography in the diagnosis an d management of prehepatic type portal hypertension(PHPHT). Met hodsBetween 2000 to 2002, all the 11 patients with PHPHT were dia gnosed by angiography and B type ultrasounography. Different operations were par formed including mesocaval shunt in 5 patients,portal-vena cava shunt in 1, splenorenal shunt in 2,and portoazygos venous disconection in 1. Two patien ts were not operated. Results Nine cases undergoing surgical operations had satisfactory outcome. Conclusions PHPHT can be correctly diagnosed by indirect portal venography which is important for the choice of operation.

关 键 词：高血压 门静脉 放射摄影 门静脉造影术 

分 类 号：R657.34[医药卫生—外科学]