【摘要】 目的 :探讨防止限制性门腔静脉侧侧分流术后吻合口扩大的方法。方法 :对 16例肝硬化门脉高压症病人行限制性门腔静脉分流术时 ,采用不吸收线连续缝合吻合口形成自然的限制环。结果 :所有病例随访 6～ 39个月 ,随访率达 10 0 %。术后未有再出血和肝性脑病的发生 ,经彩超检查发现术后吻合口无扩大 ,术后肝功能均有不同程度的改善 (P <0 .0 0 1)。结论 :改良的限制性门腔静脉侧侧分流术是治疗肝硬化门脉高压症的有效方法。更多还原

【Abstract】 Objective:To explore the method for preventing calibers of side to side portalcaval shunt from dilating.Methods:Sixteen patients with cirrhosis and portal hypertension experienced anastomoses in which side to side portalcaval shunt was sutured continuously with non absorbable suture.Results:All patients had six to thirty nine months follow up,follow up rate is 100%. There are no postoperative encephalopathy and recurrent variceal hemorrhage. Calibers of side to side portalcaval shunt was not dilated with color ultrasound examinations and postoperative liver functions were improved(P<0.001).Conclusion:Modified limited side to side portalcaval shunt is an effective method to treat cirrhosis and portal hypertension.更多还原