【摘要】 目的:探索脾切除、门奇断流附加小口径脾腔静脉分流术治疗门静脉高压症的临床效果。方法:采用脾切除、门奇断流附加小口径脾腔静脉分流术治疗的58例门静脉高压症。结果:58例均为择期手术,术前及术后自由门静脉压力分别为(39.83±3.86)cmcmH2O和(34.42±3.51)cmH2O,随访3月至7年,术后发生肝性脑病3例,再出血1例,腹水消退或好转率87.5%,曲张静脉消失或减轻率89.6%。结论:脾切除、门奇断流附加小口径脾腔静脉分流术是治疗肝硬化门静脉高压症的首选术式。更多还原

【Abstract】 Objective: To evaluate the clinic effects of splenectomy combined with peri-cardiac devascularization and splenic-cava shunt in treating portal hypertension. Methods: The clinical data of 58 patients with portal hypertension receiving combined operation in our hospital from 1997 to 2005 were retrospectively analyzed. Results: 58 cases were all decesived. Free portal vein pressure(FPP) was 39.83±3.86 cmH2O before operation and 34.42±3.51 cmH2O after operation.All the 58 patients were followed up for three month to seven years. 3 cases had hepatic encephalopathy after operation and one had rebleeding. The rate of improvement of ascites was 87.5%, gastroesophageal variceal was 89.6%. Conclusion : Splenectomy combined with peri-cardiac devascularization and splenic-cava shunt was optimal surgical procedure to treat portal hypertension.更多还原