摘要
为提高肝硬化门脉高压症的疗效，用脾次全切除腹膜后移位加断流术治疗肝硬化门脉高压症３６例，随访３个月～５．５年，食管静脉曲张１１．５％消失，６１．５％好转，２７．０％无变化；脾亢消失；免疫指标２年内无明显变化。血管数字减影显示，剩余脾与腹膜后组织建立了丰富的侧支循环，使门脉血向腹膜后分流。该术式采用断流方法，保证了门脉向肝性血流，有利于肝功能的恢复；脾次全切除腹膜后移位，保留了脾功能，消除了脾亢，余脾与腹膜后组织建立侧支循环，降压作用肯定。
In order to improve the curative effect of portal hypertension caused by hepatic cirrhosis,36 cases of portal hypertension caused by hepatic cirrhosis were treated by subtotal splenectomy with extraperitoneal splenic transposition and devascularization.The period of followup ranged from 3 months to 5.5 years,the rates of disappear,improvement and unchange of varices of esophagus were 11.5%,61.5% and 27.0% respectively.All hypersplenism disappeared.The immunologic indexes did not change obviously.DSA showed:aboundant collateral circulation had been built between the residual spleen and extraperitoneal tissues,which allowed the blood flow from portal system to extraperitoneal tissues.This method ensures the blood to liver which helps the improvement of hepatic functions.The splenic functions are retained and the hypersplenism disappeared by this method.The collateral circulation can obviously reduce the portal tension.
出处
《山东医科大学学报》
1997年第4期332-335,共4页
Acta Academiae Medicinae Shandong
基金
山东省科委资助项目
关键词
门静脉高血压
脾切除术
脾移位
血管离断术
Hypertention,portal vein
Splenectomy
Spleen transposition
Devascularization
