摘要
作者对41例门静脉高压症患者施行脾腔静脉分流手术,认为脾腔分流术不受单侧肾功能及肾血管畸形影响,腔静脉术野较浅,比脾肾静脉分流操作方便,手术成功率高,分流量较脾肾静脉吻合大,减压效果也较脾肾静脉分流好。本组脾腔静脉分流术后4～5年生存率为73.8％,不低于同类手术,至少不低于脾肾静脉分流术。92.6％恢复了全日工作及轻工作,再出血率为6.5％,明显低于国内报道的脾肾静脉分流术及门腔静脉分流术。
The article reports author's experience in performing splenocaval shunt in 41 patients with portal hypertension. The splenocaval shunt is not influenced by function of the kidney affected and renovascular deformity. The successful rate of the operation is higher than that of the splenorenal shunt because of shallow location in caval vein and easy manipulation. The effect of the portal decompression is superior due to greater flow to the shunt blood. A 4-5 year survival rate of 73.6% for this porcedure in the group was not inferior to similar operations, at least not inferior to the splenorenal shunt. 92.6% of the patients in the group recovered with all day or slight work. Rehemorrhage(6.5%)was obviously lower than that of other reports about splenorenal shunt and portocaval shunt in the country.
