摘要
胆道梗阻伴门静脉高压症是外科处理的难题之一,尤其是并发黄疸及上消化道出血时,更使外科医师面临治疗策略与方法的考验。此种情况即使在大医院也常存在着外科处理的争议、方法缺陷或最优方案的选择。现结合以下病例进行相关问题的讨论,以期提高胆道梗阻与门静脉高压症并发的远期疗效。
出处
《肝胆胰外科杂志》
CAS
2008年第5期347-349,共3页
Journal of Hepatopancreatobiliary Surgery
参考文献3
-
1何振平.胆源性门静脉高压症的再手术治疗[J].中国实用外科杂志,2006,26(3):167-169. 被引量:3
-
2Vibert E, Azoulay D, Aloia T, et al. Therapeutic strategies in symptometic portal biliopathy[J]. Ann Surg,2007,246(1) : 97- 104.
-
3He ZP, Fan EJ. Diagnosis and treatment of portal biliopathy[J]. Hepatobiliary Pancreat Int, 2002,1 (4) : 581-586.
二级参考文献7
-
1Zein CO,Lindor KD,Hngalo P,et al.Prevalence and predictors of esophageal arices in patients with primary sclerosins cholangitis[J].Hepatology,2004,39 (1):204-210.
-
2Leidenius M,Hockersted K,Broome U,et al.Hepabotiliary carcinoma in primary sclerosing cholangitis:a case control study[J].J Hepatol,2001,34(6):792-798.
-
3Chapman WC,Halery A,Blumgart LH,et al.Postcholecystectomy bile duct strictures,management and outcome in 130 patients[J].Arch Surg,1995,130(6):597 -602.
-
4Negi SS,Sakhuja P,Malhotra V,et al.Factors predicting advanced hepatic fibrosis in patients with postcholecystectomy bile duct stricture[J].Arch Surg,2004,139(3):299 -303.
-
5Coloric R,Bilanovic DJ,Jovanoric M,et al.Long-term results of reconstration of benign stenosis of the bile ducts[J].Srp Arh Cdok Lek,2003,13 (4-2):55-59.
-
6黄志强.黄志强胆道外科学[M].济南:山东科学技术出版社,1999.535-539.
-
7何振平.肝胆管结石并发门静脉高压症的外科治疗[J].中国实用外科杂志,2004,24(2):67-67. 被引量:15
共引文献2
-
1陈德烽,陈宇峰,韩明瑞,李辉.外科治疗肝内胆管结石并尾状叶代偿性肥大4例[J].实用医学杂志,2011,27(3):464-466. 被引量:5
-
2柴新群,冯贤松,吴军卫,李锦锦,李潼,孟元普.胆道再次手术术前的评估及处理策略[J].腹部外科,2013(1):22-24. 被引量:3
同被引文献16
-
1汪建初,张训臣,丁佑铭.梗阻性黄疸的血流动力学变化[J].临床外科杂志,2004,12(7):444-445. 被引量:2
-
2巩鹏,王忠裕.梗阻性黄疸与肝细胞凋亡[J].国外医学(临床生物化学与检验学分册),2005,26(2):98-100. 被引量:4
-
3Hiroshi Yoshida,Yasuhiro Mamada,Nobuhiko Taniai,Takashi Tajiri.New methods for the management of esophageal varices[J].World Journal of Gastroenterology,2007,13(11):1641-1645. 被引量:30
-
4Lee JH, iin GY, Jin ZW,et al. Ramification of Glisson's sheath peripheral branches and clinical implications in the era of local ab- lation therapy[ J ]. Surg Radiol Anat ,2010,32 ( 10 ) :911-917.
-
5Chapman GB, Eagles DA. Ultrastructural features of Glisson's capsule and the overlying mesothelium in rat, monkey and pike liver[J]. Tissue Ce11,2007,39(5) :343-351.
-
6Franco D, Gigou M, Szekely AM, et al. Portal hypertension after bile duct obstruction: effect of bile diversion on portal pressure in the rat [ J ]. Arch Surg, 1979,114 (9) : 1064-1067.
-
7Bosch J, Enriquez R, Groszmann RJ,et al. Chronic bile duct liga- tion in the dog: hemodynamic characterization of a portal hyperten- sive model[J]. Hepatology, 1983,3(6) :1002-1007.
-
8Ibrarullah M, Sikora SS, Agarwal DK,et al. Latent'portal hyper-tension in benign biliary ohaction[ J], HPB Surg, 1996,9 ( 3 ) : 149-152.
-
9Forker EL. Two sites of bile fox00atiq as determined by mannitol and erythritol clearance in the guinea pig[ J]. J Clin Invest, 1967, 46(7) :1189-1195.
-
10Thune A, Scicchitano J, Roberts-Thomson I,et al. Rpraducibili- ty of endoscopic sphincter of Oddi manometry [ J ]. Dig Dis Sci, 1991 ,36 ( 10 ) : 1401-1405.
引证文献2
-
1肖志亚,陈宏伟,汪新天,尹新民,何自力.Glisson鞘综合征-胆管梗阻导致门脉高压的机制研究[J].中国医师杂志,2015,17(5):722-724. 被引量:1
-
2张珂,穆毅,蒋力,黄容海,鲁岩,赫嵘,刘垚,丁振昊.肝硬化门静脉高压症合并恶性梗阻性黄疸的外科治疗经验[J].中国实用外科杂志,2010,30(S1):31-33.
-
1田虎,李杰,滕木俭,王兴国,张清泉,胡宗泽.联合手术治疗原发性肝癌合并门静脉高压症临床观察[J].山东医药,2004,44(36):23-24. 被引量:1
-
2付雍,杨广顺.肝癌合并门静脉高压症的外科治疗[J].外科理论与实践,2016,21(5):378-381. 被引量:2
-
3王维民,黄莛庭.肝移植与门静脉高压症[J].中华普通外科杂志,2003,18(7):446-448. 被引量:5
-
4杨镇,裘法祖.贲门周围血管离断术的规范化操作与门静脉高压症的疗效分析[J].华中医学杂志,2001,25(5):229-230. 被引量:39
-
5孙文兵.静脉高压症的外科治疗缘何令人困惑?[J].老年健康,2007(1):9-11.
-
6高健,于游嵩,左桂枝,王志伟,徐长有.肝硬化门静脉高压诊治研究进展[J].首都食品与医药,2015,22(8):17-18. 被引量:2
-
7陈庆泳.肠外瘘的诊治进展[J].医学文选,2006,25(2):344-346. 被引量:2
-
8龚庆豪,朱松明,黄侠,王路兵,张超峰.选择性贲门周围血管离断术治疗肝硬化门静脉高压症的临床分析[J].中国医药导刊,2013,15(10):1643-1644. 被引量:2
-
9王凯,车彪.关节软骨损伤修复的策略与方法[J].生物骨科材料与临床研究,2005,2(6):21-24.
-
10李发辉,李朝龙,朱玮冰,周占春,张连新.合并门静脉高压症的肝胆管结石的外科治疗(附39例临床报告)[J].国际医药卫生导报,2006,12(15):72-73.