摘要
门静脉高压症的手术治疗已经历了100余年,从各式门体分流、断流到选择性分流一直不断推陈出新。选择性分流具有预防静脉曲张复发出血远期疗效好和维持肝脏门静脉血流灌注的优点,从单一的远端脾肾分流发展到远端脾腔分流、冠腔分流、冠肾分流等多种术式,将自发性门体分流重建后也可达到选择性分流的效果。术前门静脉系统CT血管成像、术中超声多普勒以及门静脉压力测定可使患者获得更加合理的手术方式选择。
Surgerical treatment has been used for portal hypertension over a hundred years,and has evolved from various portosystemic shunts to devascularizations and selective shunts.Selective shunting,which has the advantages of long-term prevention from recurrent variceal bleeding and maintenance of hepatic portal vein perfusion,has developed from single distal splenorenal shunt to various procedures including distal splenocaval shunt,coronary caval shunt,coronary renal shunt,etc.Selective shunting can also be achieved after reconstruction of spontaneous portosystemic shunt.Preoperative portal venous system CT angiography,intraoperative ultrasound Doppler and portal vein pressure measurements may provide patients with a more reasonable treatment of choice.
作者
田明国
TIAN Mingguo(Department of Hepatobiliary Surgery,The People’s Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,P.R.China)
出处
《中国普外基础与临床杂志》
CAS
2022年第8期987-991,共5页
Chinese Journal of Bases and Clinics In General Surgery
基金
宁夏回族自治区重点研发计划项目(项目编号:2022BEG02038)。
