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改良脾肺固定术治疗小儿肝前型门静脉高压症
Modified splenopneumopexy in prehepatic portal hypertension in children
【摘要】 目的 探讨小儿肝前型门静脉高压症的治疗方法。方法 本组9 例均采用在Akita 手术基础上改良的脾肺固定术治疗小儿肝前型门静脉高压症,其中男8 例,女1 例,年龄3 ~13 岁。结果 术后随访5 个月~2 年,8 例患儿症状显著改善,未再发生呕血和黑便,1 例患儿术后有2 次出血,经保守治疗后痊愈。结论 改良脾肺固定术是治疗小儿肝前型门静脉高压症的较好方法。
【Abstract】 Objective To evaluate the efficacy of modified splenopneumopexy as a treatment of prehepatic portal hypertension in children.Methods Nine children, 8 boys and 1 girl, (age range: 3 - 13 years) underwent modified splenopneumopexy for prehepatic portal hypertension.Results The children were followed up for 5 months to 2 years. Eight patients had obvious improvement. One patient had two episodes of bleeding and was successfully managed with conservative treatment.Conclusion Modified splenopneumopexy is a feasible treatment for prehepatic portal hypertension in children.
【Key words】 Liver; Spleen; Hypertension, portal; Arteriovenous shunt, surgical;
- 【文献出处】 中华小儿外科杂志 ,CHINESE JOURNAL OF PEDIATRIC SURGERY , 编辑部邮箱 ,2000年01期
- 【分类号】R726.5
- 【被引频次】4
- 【下载频次】23