摘要
结合国内外文献及我院７例经手术证实的门静脉海绵样变性病人的临床资料．对该种少见的特殊的肝外型门静脉高压症的病因、临床表现、诊断手段及治疗方式进行了讨论。认为彩色多普勒检查是术前确诊的重要手段。对年幼儿童的手术治疗．宜先选用门奇静脉断流术，待小儿于学龄前或８～１０ａ再作以颈内静脉为间置物的肠腔Ｈ分流术为佳。
Seven patients with the portal cavernoma were surgically treated in our department. Based on the preliminary clinical experience and the collective review of the surgical literatures to this clinical entity, the etiology. the manifestations of the patients, diagnosis and management of the disease were discussed. It has been shown that the preoperative colour Doppler Sonography is important for the confirmation of the diagnosis. The portal-azagus disconnection is the choice of treatment for the emergent cases failed to endoscopic sclerotherapy. The mesocavnl shunt with jugular veininterposition is the most reliable and effective approach to the selected patients.
出处
《肝胆外科杂志》
1994年第3期167-170,共4页
Journal of Hepatobiliary Surgery
关键词
门静脉海绵样变
分流术
门脉高血压
肝外型
portal cavernoma
extrahepatic portal hypertention
disconnection
shunt
