目的 探討肝外型門靜脈高壓分流術(shù)人工血管閉塞后血流重建的診治方法。
方法 對(duì)2006年3月至2010年12月期間筆者收治的102例肝外型門靜脈高壓患者進(jìn)行了開(kāi)放手術(shù)治療,其中3例是再次手術(shù)患者并對(duì)已嚴(yán)重狹窄或閉塞的人工血管進(jìn)行了血流重建。
結(jié)果 3例患者人工血管均得以血流重建,分別隨訪了32、17及30個(gè)月,患者均已恢復(fù)正常生活。
結(jié)論 合適的病例選擇、合理的手術(shù)方案以及術(shù)中和術(shù)后規(guī)范的抗凝治療是保證門靜脈高壓分流術(shù)后人工血管長(zhǎng)期通暢的重要因素。
引用本文: 李震,王雷永,季鋒,李治仝,侯高峰,劉穎,李曉廣,汪忠鎬. 肝外型門靜脈高壓分流術(shù)人工血管閉塞后的血流重建. 中國(guó)普外基礎(chǔ)與臨床雜志, 2012, 19(3): 325-327. doi: 復(fù)制
版權(quán)信息: ?四川大學(xué)華西醫(yī)院華西期刊社《中國(guó)普外基礎(chǔ)與臨床雜志》版權(quán)所有,未經(jīng)授權(quán)不得轉(zhuǎn)載、改編
1. | Weiss B, Shteyer E, Vivante A, et al. Etiology and long-term outcome of extrahepatic portal vein obstruction in children [J].World J Gastroenterol, 2010, 16(39): 4968-4972. |
2. | Däbritz J, Worch J, Materna U, et al. Life-threatening hypersplenism due to idiopathic portal hypertension in early childhood:case report and review of the literature [J]. BMC Gastroenterol,2010, 10: 122. |
3. | 李震, 吳繼東, 汪忠鎬, 等. 肝前型門脈高壓癥的診治 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2009, 16(12): 1005-1009.. |
4. | 汪忠鎬, 李春民, 李震, 等. 布-加綜合征的進(jìn)展與展望 [J].臨床肝膽病雜志, 2011, 27(2): 113-115.. |
5. | Bhasin DK, Malhi NJ. Variceal bleeding and portal hypertension:much to learn, much to explore [J]. Endoscopy, 2002, 34(2):119-128. |
6. | Kravetz D. Prevention of recurrent esophageal variceal hemorrhage:review and current recommendations [J]. J Clin Gastroenterol,2007, 41 (Suppl 3): S318-S322. |
7. | Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirrhosis [J]. N Engl J Med, 2010, 362(9): 823-832. |
8. | Lo GH. The role of endoscopy in secondary prophylaxis of esophageal varices [J]. Clin Liver Dis, 2010, 14(2): 307-323. |
9. | Maksoud-Filho JG, Gonçalves ME, Cardoso SR, et al. Longterm follow-up of children with extrahepatic portal vein obstruction:impact of an endoscopic sclerotherapy program on bleeding episodes, hepatic function, hypersplenism, and mortality [J]. J Pediatr Surg, 2009, 44(10): 1877-1883. |
10. | 李震, 賈如冰, 汪忠鎬, 等. 附臍靜脈在門脈高壓分流術(shù)中的應(yīng)用 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2010, 17(2): 180-181.. |
11. | 吳繼東, 汪忠鎬, 王仕華, 等. 兒童肝外型門脈高壓癥的診治 [J]. 中國(guó)現(xiàn)代手術(shù)學(xué)雜志, 2003, 7(5): 375-377.. |
12. | Poddar U, Borkar V. Management of extra hepatic portal venous obstruction (EHPVO): current strategies [J]. Trop Gastroenterol,2011, 32(2): 94-102. |
13. | Mileti E, Rosenthal P. Management of portal hypertension in children [J]. Curr Gastroenterol Rep, 2011, 13(1): 10-16. |
14. | 李震, 汪忠鎬, 卞策, 等. 腸房轉(zhuǎn)流通暢前提下并發(fā)頑固性腹水的治療 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2009, 16(7):571-572.. |
15. | Li CM, Wang ZG, Gu YQ, et al. Management of complex patients with Budd-Chiari syndrome [J]. Ann Vasc Surg, 2010,24(3): 301-307. |
16. | Subhasis RC, Rajiv C, Kumar SA, et al. Surgical treatment of massive splenomegaly and severe hypersplenism secondary to extrahepatic portal venous obstruction in children [J]. Surg Today,2007, 37(1): 19-23. |
- 1. Weiss B, Shteyer E, Vivante A, et al. Etiology and long-term outcome of extrahepatic portal vein obstruction in children [J].World J Gastroenterol, 2010, 16(39): 4968-4972.
- 2. Däbritz J, Worch J, Materna U, et al. Life-threatening hypersplenism due to idiopathic portal hypertension in early childhood:case report and review of the literature [J]. BMC Gastroenterol,2010, 10: 122.
- 3. 李震, 吳繼東, 汪忠鎬, 等. 肝前型門脈高壓癥的診治 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2009, 16(12): 1005-1009..
- 4. 汪忠鎬, 李春民, 李震, 等. 布-加綜合征的進(jìn)展與展望 [J].臨床肝膽病雜志, 2011, 27(2): 113-115..
- 5. Bhasin DK, Malhi NJ. Variceal bleeding and portal hypertension:much to learn, much to explore [J]. Endoscopy, 2002, 34(2):119-128.
- 6. Kravetz D. Prevention of recurrent esophageal variceal hemorrhage:review and current recommendations [J]. J Clin Gastroenterol,2007, 41 (Suppl 3): S318-S322.
- 7. Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirrhosis [J]. N Engl J Med, 2010, 362(9): 823-832.
- 8. Lo GH. The role of endoscopy in secondary prophylaxis of esophageal varices [J]. Clin Liver Dis, 2010, 14(2): 307-323.
- 9. Maksoud-Filho JG, Gonçalves ME, Cardoso SR, et al. Longterm follow-up of children with extrahepatic portal vein obstruction:impact of an endoscopic sclerotherapy program on bleeding episodes, hepatic function, hypersplenism, and mortality [J]. J Pediatr Surg, 2009, 44(10): 1877-1883.
- 10. 李震, 賈如冰, 汪忠鎬, 等. 附臍靜脈在門脈高壓分流術(shù)中的應(yīng)用 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2010, 17(2): 180-181..
- 11. 吳繼東, 汪忠鎬, 王仕華, 等. 兒童肝外型門脈高壓癥的診治 [J]. 中國(guó)現(xiàn)代手術(shù)學(xué)雜志, 2003, 7(5): 375-377..
- 12. Poddar U, Borkar V. Management of extra hepatic portal venous obstruction (EHPVO): current strategies [J]. Trop Gastroenterol,2011, 32(2): 94-102.
- 13. Mileti E, Rosenthal P. Management of portal hypertension in children [J]. Curr Gastroenterol Rep, 2011, 13(1): 10-16.
- 14. 李震, 汪忠鎬, 卞策, 等. 腸房轉(zhuǎn)流通暢前提下并發(fā)頑固性腹水的治療 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2009, 16(7):571-572..
- 15. Li CM, Wang ZG, Gu YQ, et al. Management of complex patients with Budd-Chiari syndrome [J]. Ann Vasc Surg, 2010,24(3): 301-307.
- 16. Subhasis RC, Rajiv C, Kumar SA, et al. Surgical treatment of massive splenomegaly and severe hypersplenism secondary to extrahepatic portal venous obstruction in children [J]. Surg Today,2007, 37(1): 19-23.