摘要
门脉高压症在我国主要由肝炎后肝硬化引起,门脉高压症的治疗可分为药物、介入及外科治疗,目前外科治疗仍然是主要方式。除肝移植外,外科治疗主要为分流及断流术,二者各有优缺点。目前更倾向于分流联合断流术治疗门脉高压症,该术式的优点是综合分流及断流术的优点,既能降低单纯的分流术后的肝性脑病的发病率,又能降低单纯的断流术后的再出血率。
Portal hypertension mainly origins from posthepatitic cirrhosis in China. Medical and surgical treatments are used for portal hypertension and the surgery is the major modality. Surgical treatment can be classified into shunting and devascularization,in addition to liver transplantation,which have both merits and defects,remaining controversial for several decades. Shunting plus disconnection is preferred for the treatment of portal hypertension at present. The technique combines the merits of both shunting and devascularization. Shunting plus devascularization may reduce the incidence of hepatic encephalopathy than shunting alone and decrease the incidence of rebleeding than devascularization alone. The article reviewed the recent literatures on how to prevent and treat portal hypertension.
出处
《医学综述》
2010年第13期2027-2029,共3页
Medical Recapitulate
关键词
门脉高压症
诊断
预防
治疗
Portal hypertension
Diagnosis
Prevention
Treatment
