【摘要】 目的探讨门静脉海绵样变的临床特点、诊断方法及治疗。方法对22例门静脉海绵样变患者的临床资料进行回顾性分析。结果22例患者多以反复呕血便血、脾肿大、脾功能亢进为主要症状;肝功能检查多正常或仅表现为白蛋白的轻度降低。21例经超声检查确诊,1例经门静脉造影确诊。4例患者进行手术治疗,大多行脾切除,分流术加断流术。结论门静脉海绵样变的临床表现以继发性门静脉高压为主,超声检查多能确诊。内科保守治疗效果不佳,手术以分流加断流术为主。更多还原

【Abstract】 Objective To discuss the clinical characteristics, diagnostic methods and treatment of cavernous transformation of portal vein (CTPV). Methods A retrospective research was done in 22 patients with CTPV. Results The main symptoms of 22 patients were repeated haematemesis, hemafecia, hypersplenotrophy, and hypersplenia. Twenty one cases were detected by ultrasonograph, and 1 case by portal venography. Four cases were treated by operation, and 3 of them were splenectomy ,by-pass technique plus disconnection. Conclusion The clinical manifestation of CTPV was secondary portal hypertension. Most cases could be detected by ultrasonograph. Drug treatment was not the best method to cure CTPV, while splenectomy, by-pass technique plus disconnection was the preferred operation.更多还原