摘要
目的 探讨门静脉海绵样变性（cavernous transformation of portal vein，CTPV）的诊断和治疗措施。方法 对11例门静脉海绵样变性住院患者的临床资料进行回顾性分析。结果 11例患者以上消化道出血和／或脾功能亢进为临床表现，彩色多普勒超声检查诊断率为90.9％（10/11）；11例患者共实施13例次手术，胃冠状血管及其分支结扎（断流）术2例次，脾切除＋断流＋脾肾分流术5例次；脾切除＋大网膜包肾术4例次：肠系膜上静脉和下腔静脉分流术2例次，随访1-4年，行分流术者预后效果良好。结论彩色多普勒超声对门静脉海绵样性变有较高的诊断价值，断流加分流术是门静脉海绵样变性的首选治疗方法。
Objective To explore the diagnosis and treatment of cavernous transformation of portal vein （CTPV）. Methods Retrospectively analyzing clinical data of 11 cases with cavernous transformation of portal vein. Results The primary signs and symptoms of 11 cases were upper digestive tract hemorrhage and splenomegaly. The rate of diagnosis of cavernous transformation of portal vein by color Doppler ultrasonography （US） was 90.9% （10/11）. Two patients underwent disconnection operation, five patients had splenectomy and disconnection and central splenorenal shunt, four patients had a distal splenorenal shunt, and two patients underwent mesocaval shunt between inferior vena eava and superior mesenteric vein. All patients were followed one to four years, there were no deaths or hepatic encephalopathy, and the effect of prognosis were well. Conclusion Color Doppler uhrasonography （US） has upper merit to the diagnosis of cavernous transformation of portal vein, the operation of disconnection and shunt is the first choice method to cavernous transformation of portal vein.
出处
《医药论坛杂志》
2008年第3期24-25,27,共3页
Journal of Medical Forum
关键词
门静脉海绵样变性
门静脉高压
诊断
Cavernous transformation of portal vein
Portal hypertension
Diagnosis
