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肝动脉双重结扎缩扎术治疗肝脏遗传性出血性毛细血管扩张症长期观察

Long-term observation on treatment of hereditary hemorrhagic telangiectasia by double ligation of hepatic artery

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【作者】 Habibullah Fitrat慕文韬郭凌宇Abdul Qahar SalehSayed Ismail宁尚磊徐云飞宋勰刘兆臣陈雨信

【Author】 Habibullah Fitrat;MU Wen-tao;GUO Ling-yu;Abdul Qahar Saleh;Sayed ISMAIL;NING Shang-lei;XU Yun-fei;SONG Xie;LIU Zhao-chen;CHEN Yu-xin;Department of Hepatobiliary Surgery,Qilu Hospital of Shandong University;Department of Gastrointestinal Surgery,Shandong Provincial Hospital;Department of Hepatobiliary Surgery,the First Affiliated Hospital of Zhengzhou University;

【通讯作者】 陈雨信;

【机构】 山东大学齐鲁医院肝胆外科山东省立医院胃肠外科郑州大学第一附属医院肝胆外科

【摘要】 目的 :探讨肝脏遗传性出血性出血性毛细血管扩张症(HHHT)行肝动脉双重结扎缩扎术治疗方法及疗效。方法:2005年7月—2011年2月对6例HHHT患者行肝动脉双重结/缩扎术,并长期随访。结果:随访5~14年后,患者临床症状、实验室指标及影像学表现均得到不同程度的改善。结论:肝动脉起始和入肝处的双重结扎缩扎术能够有效地降低肺动脉压,减轻肝脏的损伤,是治疗HHHT的有效方法。

【Abstract】 Objective: To investigate the treatment and curative effect of double ligation/constriction of hepatic artery in hereditary hepatic telangiectasia. Methods: The clinical data of 6 patients with hereditary hemorrhagic telangiectasia who underwent double ligation/constriction of hepatic artery from July 2005 to February 2011 were analyzed retrospectively, and the prognosis of the patients who underwent surgical treatment was evaluated. Results: After 5-14 years of follow-up,the clinical symptoms, laboratory indicators and imaging manifestations of patients with double ligation/constriction of hepatic artery were all improved. Conclusion: The double ligation/constriction at the origin and entrance of hepatic artery in patients with hepatic HHT can effectively reduce pulmonary artery pressure and reduce liver injury. Double ligation/constriction of hepatic artery is an effective method to treat hereditary hemorrhagic telangiectasia of the liver.

  • 【文献出处】 中国现代普通外科进展 ,Chinese Journal of Current Advances in General Surgery , 编辑部邮箱 ,2020年04期
  • 【分类号】R657.3
  • 【被引频次】2
  • 【下载频次】73
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