Rex手术治疗儿童门静脉海绵样变6例的临床效果分析

Clinical efficacy of Rex operation on 6 children with cavernous transformation of portal vein

目的 总结Rex手术治疗儿童门静脉海绵样变的临床效果。方法 回顾性分析6例门静脉海绵样变患儿的临床资料、手术方式及预后情况。结果 6例患儿手术均顺利,术后门静脉压力明显降低,白细胞、血红蛋白、血小板水平恢复正常。术后12个月超声检查结果提示吻合口血流通畅,脾脏明显缩小。结论 Rex手术治疗儿童门静脉海绵样变效果良好,可有效降低门静脉压力,缓解脾亢进。

Objective To summarize the clinical efficacy of Rex operation on children with cavernous transformation of portal vein(CTPV). Methods Clinical data, surgical methods and prognosis of 6 CTPV children were retrospectively analyzed. Results The postoperative events were unremarkable in 6 patients, with the significant reduction of portal vein pressure and normalization of leukocytes, hemoglobin and platelets. Ultrasound showed patent anastomotic blood flow and shrinked spleen at 12 months postoperation. Conclusion Rex operation is effective for CTPV children through reducing portal vein pressure and alleviating hypersplenism.