李震 1 , 賈如冰 2 , 汪忠鎬 1,3 , 霍小森 1 , 卞策 4 , 林杰 4
  • 1.中國航空工業(yè)中心醫(yī)院血管外科(北京 100012);;
  • 2.北京大學航天臨床醫(yī)學院外科(北京 100049);;
  • 3.首都醫(yī)科大學血管外科研究所(北京 100053);;
  • 4.中國人民解放軍第二炮兵總醫(yī)院血管外科(北京 100088);

目的  探討附臍靜脈在門靜脈高壓分流術中的應用。
方法  對第二炮兵總醫(yī)院2009年收治的2例經多次治療后復發(fā)的布加綜合征患者利用明顯擴張的附臍靜脈進行門體分流術。
結果  術后門靜脈壓力均明顯降低, 2患者分別在術后隨訪7和5個月,療效滿意。
結論  對于復雜重癥的門靜脈高壓患者,明顯擴張并壓力增高的附臍靜脈可用于門腔靜脈轉流,術式簡單有效。

引用本文: 李震,賈如冰,汪忠鎬,霍小森,卞策,林杰. 附臍靜脈在門靜脈高壓分流術中的應用. 中國普外基礎與臨床雜志, 2010, 17(2): 180-181. doi: 復制

1. Yoshida H, Mamada Y, Taniai N, et al. New trends in surgical treatment for portal hypertension [J]. Hepatol Res, 2009; 39(10): 10441051.
2. Segawa M, Sakaida I. Diagnosis and treatment of portal hypertension [J]. Hepatol Res, 2009; 39(10): 10391043.
3. Zhou GW, Li HW. Surgical therapy for portal hypertension in patients with cirrhosis in China: present situation and prospects [J]. Chin Med J (Engl), 2009; 122(13): 14831485.
4. 王欣博, 童中勛, 劉威, 等. 門靜脈海綿樣變性外科治療的研究進展 [J]. 中國普外基礎與臨床雜志, 2008; 15(12): 877879.
5. Wang ZG, Jones RS. BuddChiari syndrome [J]. Curr Probl Surg, 1996; 33(2): 83211.
6. 李曉東, 陳學明, 汪忠鎬, 等. 肝外型門靜脈高壓癥外科治療42例經驗 [J]. 中國普外基礎與臨床雜志, 2002; 9(2): 122123.
7. Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1): 253256.
8. Singal AK, Ahmad M, Soloway RD. Duplex Doppler ultrasound examination of the portal venous system: an emerging novel technique for the estimation of portal vein pressure [J]. Dig Dis Sci, 2009; Jul 23. DOI: 10.1007/S1062000908870.
9. Kogo M, Nebashi Y, Taniguchi H, et al. Evaluation of paraumbilical vein as a prognostic index of severe liver cirrhotic patients with portalsystemic shunts [J]. Minerva Gastroenterol Dietol, 2006; 52(4): 371378.
10. Ibukuro K, Kojima K, Kigawa I, et al. Embolization of rectal varices via a paraumbilical vein with an abdominal wall approach in a patient with massive ascites [J]. J Vasc Interv Radiol, 2009; 20(9): 12591261.
11. 侯鈺, 孫廣新, 楊俊山. 門靜脈高壓時臍靜脈或附臍靜脈的血流動力學改變及臨床意義 [J]. 肝膽外科雜志, 2004; 12(5): 332334.
12. Gupta D, Chawla YK, Dhiman RK, et al. Clinical significance of patent paraumbilical vein in patients with liver cirrhosis [J]. Dig Dis Sci, 2000; 45(9): 18611864.
13. Ishikawa Y, Yoshida H, Mamada Y, et al. Surgical disconnection of patent paraumbilical vein in refractory hepatic encephalopathy [J]. J Nippon Med Sch, 2008; 75(3): 152156.
14. 王曙光, 蔡景修, 劉子沛, 等. 臍靜脈橋式選擇性分流術 [J]. 消化外科雜志, 2003; 2(4): 239242.
15. 王傳德, 魏定夏, 汪忠鎬. 臍靜脈大隱靜脈轉流術在重度門脈高壓大出血中的應用 [J]. 中國現代普通外科進展, 1999; 2(4): 4243.
  1. 1. Yoshida H, Mamada Y, Taniai N, et al. New trends in surgical treatment for portal hypertension [J]. Hepatol Res, 2009; 39(10): 10441051.
  2. 2. Segawa M, Sakaida I. Diagnosis and treatment of portal hypertension [J]. Hepatol Res, 2009; 39(10): 10391043.
  3. 3. Zhou GW, Li HW. Surgical therapy for portal hypertension in patients with cirrhosis in China: present situation and prospects [J]. Chin Med J (Engl), 2009; 122(13): 14831485.
  4. 4. 王欣博, 童中勛, 劉威, 等. 門靜脈海綿樣變性外科治療的研究進展 [J]. 中國普外基礎與臨床雜志, 2008; 15(12): 877879.
  5. 5. Wang ZG, Jones RS. BuddChiari syndrome [J]. Curr Probl Surg, 1996; 33(2): 83211.
  6. 6. 李曉東, 陳學明, 汪忠鎬, 等. 肝外型門靜脈高壓癥外科治療42例經驗 [J]. 中國普外基礎與臨床雜志, 2002; 9(2): 122123.
  7. 7. Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1): 253256.
  8. 8. Singal AK, Ahmad M, Soloway RD. Duplex Doppler ultrasound examination of the portal venous system: an emerging novel technique for the estimation of portal vein pressure [J]. Dig Dis Sci, 2009; Jul 23. DOI: 10.1007/S1062000908870.
  9. 9. Kogo M, Nebashi Y, Taniguchi H, et al. Evaluation of paraumbilical vein as a prognostic index of severe liver cirrhotic patients with portalsystemic shunts [J]. Minerva Gastroenterol Dietol, 2006; 52(4): 371378.
  10. 10. Ibukuro K, Kojima K, Kigawa I, et al. Embolization of rectal varices via a paraumbilical vein with an abdominal wall approach in a patient with massive ascites [J]. J Vasc Interv Radiol, 2009; 20(9): 12591261.
  11. 11. 侯鈺, 孫廣新, 楊俊山. 門靜脈高壓時臍靜脈或附臍靜脈的血流動力學改變及臨床意義 [J]. 肝膽外科雜志, 2004; 12(5): 332334.
  12. 12. Gupta D, Chawla YK, Dhiman RK, et al. Clinical significance of patent paraumbilical vein in patients with liver cirrhosis [J]. Dig Dis Sci, 2000; 45(9): 18611864.
  13. 13. Ishikawa Y, Yoshida H, Mamada Y, et al. Surgical disconnection of patent paraumbilical vein in refractory hepatic encephalopathy [J]. J Nippon Med Sch, 2008; 75(3): 152156.
  14. 14. 王曙光, 蔡景修, 劉子沛, 等. 臍靜脈橋式選擇性分流術 [J]. 消化外科雜志, 2003; 2(4): 239242.
  15. 15. 王傳德, 魏定夏, 汪忠鎬. 臍靜脈大隱靜脈轉流術在重度門脈高壓大出血中的應用 [J]. 中國現代普通外科進展, 1999; 2(4): 4243.