脾切断流术后门静脉血栓形成防治的研究进展

Research progress on the portal vein thrombosis after esophagogastric devascularization and splenectomy

门静脉血栓形成(PVT)是脾切断流术后的常见并发症,具有隐匿性和潜在危险性,削弱了手术的疗效。且行脾切断流术患者常伴有严重肝硬化,其异常的止血功能使术后血栓防治成为临床医师需要面对的难题。本文就脾切断流术后PVT发生的危险因素、机制及防治方法的研究进行了综述。

Portal vein thrombosis is a common complication after esophagogastric devascularization and splenectomy(EDS),with concealment and potential risks,which limited the therapeutic effect.The patients undergoing EDS are often accompanied by severe liver cirrhosis,whose abnormal hemostasis poses a dilemma for antithrombotic therapy.This article reviewed on the research progress of hemostasis of these patients,and risk factors,mechanism,prevention,therapy of post-EDS portal vein thrombosis.