胰源性区域性门静脉高压症11例临床分析

Clinical analysis of pancreatic reginal portal hypertension:a report of 11 cases

目的探讨胰源性区域性门静脉高压症的临床特征及有关诊治问题。方法对1 1例胰源性区域性门静脉高压症的临床资料进行回顾性分析和总结。结果1 1例均行手术治疗,4例出现术后并发症,均经非手术治疗而愈。无手术死亡。术后随防7例,除了1例因合并胰腺癌于术后3年死亡外,其余6例未发生消化道出血,脾功能亢进症状完全消失。结论胰源性区域性门静脉高压症是一种特殊类型的门静脉高压症,手术治疗可获良好效果。

Objective To explore the clinical characteristics, diagnosis and treatment of pancreatic reginal portal hypertension （PSPH）. Methods The clinical data of 11 cases of PSPH were analysed and summarized. Results All of the patients in this group underwent surgical operation. Postoperative complications occurred in 4 patients, all of whom recovered with conservative treatment. There was no operative mortality. Seven cases were followed up after operation ; one patient died from cancer of the pancreas three years after operation; in other six cases, no massive digestive tract re-bleeding occurred, and symptoms of hypersplenism disappeared completely. Conclusions PSPH is a special type of portal hypertension, surgical treatment can get excellent results.