目的 探讨肝外型门静脉高压分流术人工血管闭塞后血流重建的诊治方法。
方法 对2006年3月至2010年12月期间笔者收治的102例肝外型门静脉高压患者进行了开放手术治疗,其中3例是再次手术患者并对已严重狭窄或闭塞的人工血管进行了血流重建。
结果 3例患者人工血管均得以血流重建,分别随访了32、17及30个月,患者均已恢复正常生活。
结论 合适的病例选择、合理的手术方案以及术中和术后规范的抗凝治疗是保证门静脉高压分流术后人工血管长期通畅的重要因素。
Citation:
李震,王雷永,季锋,李治仝,侯高峰,刘颖,李晓广,汪忠镐. Revascularization of Shunt in Extrahepatic Portal Hypertension after Occlusion of The Prosthetic Grafts. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(3): 325-327. doi:
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1. |
Weiss B, Shteyer E, Vivante A, et al. Etiology and long-term outcome of extrahepatic portal vein obstruction in children [J].World J Gastroenterol, 2010, 16(39): 4968-4972.
|
2. |
Däbritz J, Worch J, Materna U, et al. Life-threatening hypersplenism due to idiopathic portal hypertension in early childhood:case report and review of the literature [J]. BMC Gastroenterol,2010, 10: 122.
|
3. |
李震, 吴继东, 汪忠镐, 等. 肝前型门脉高压症的诊治 [J]. 中国普外基础与临床杂志, 2009, 16(12): 1005-1009..
|
4. |
汪忠镐, 李春民, 李震, 等. 布-加综合征的进展与展望 [J].临床肝胆病杂志, 2011, 27(2): 113-115..
|
5. |
Bhasin DK, Malhi NJ. Variceal bleeding and portal hypertension:much to learn, much to explore [J]. Endoscopy, 2002, 34(2):119-128.
|
6. |
Kravetz D. Prevention of recurrent esophageal variceal hemorrhage:review and current recommendations [J]. J Clin Gastroenterol,2007, 41 (Suppl 3): S318-S322.
|
7. |
Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirrhosis [J]. N Engl J Med, 2010, 362(9): 823-832.
|
8. |
Lo GH. The role of endoscopy in secondary prophylaxis of esophageal varices [J]. Clin Liver Dis, 2010, 14(2): 307-323.
|
9. |
Maksoud-Filho JG, Gonçalves ME, Cardoso SR, et al. Longterm follow-up of children with extrahepatic portal vein obstruction:impact of an endoscopic sclerotherapy program on bleeding episodes, hepatic function, hypersplenism, and mortality [J]. J Pediatr Surg, 2009, 44(10): 1877-1883.
|
10. |
李震, 贾如冰, 汪忠镐, 等. 附脐静脉在门脉高压分流术中的应用 [J]. 中国普外基础与临床杂志, 2010, 17(2): 180-181..
|
11. |
吴继东, 汪忠镐, 王仕华, 等. 儿童肝外型门脉高压症的诊治 [J]. 中国现代手术学杂志, 2003, 7(5): 375-377..
|
12. |
Poddar U, Borkar V. Management of extra hepatic portal venous obstruction (EHPVO): current strategies [J]. Trop Gastroenterol,2011, 32(2): 94-102.
|
13. |
Mileti E, Rosenthal P. Management of portal hypertension in children [J]. Curr Gastroenterol Rep, 2011, 13(1): 10-16.
|
14. |
李震, 汪忠镐, 卞策, 等. 肠房转流通畅前提下并发顽固性腹水的治疗 [J]. 中国普外基础与临床杂志, 2009, 16(7):571-572..
|
15. |
Li CM, Wang ZG, Gu YQ, et al. Management of complex patients with Budd-Chiari syndrome [J]. Ann Vasc Surg, 2010,24(3): 301-307.
|
16. |
Subhasis RC, Rajiv C, Kumar SA, et al. Surgical treatment of massive splenomegaly and severe hypersplenism secondary to extrahepatic portal venous obstruction in children [J]. Surg Today,2007, 37(1): 19-23.
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- 1. Weiss B, Shteyer E, Vivante A, et al. Etiology and long-term outcome of extrahepatic portal vein obstruction in children [J].World J Gastroenterol, 2010, 16(39): 4968-4972.
- 2. Däbritz J, Worch J, Materna U, et al. Life-threatening hypersplenism due to idiopathic portal hypertension in early childhood:case report and review of the literature [J]. BMC Gastroenterol,2010, 10: 122.
- 3. 李震, 吴继东, 汪忠镐, 等. 肝前型门脉高压症的诊治 [J]. 中国普外基础与临床杂志, 2009, 16(12): 1005-1009..
- 4. 汪忠镐, 李春民, 李震, 等. 布-加综合征的进展与展望 [J].临床肝胆病杂志, 2011, 27(2): 113-115..
- 5. Bhasin DK, Malhi NJ. Variceal bleeding and portal hypertension:much to learn, much to explore [J]. Endoscopy, 2002, 34(2):119-128.
- 6. Kravetz D. Prevention of recurrent esophageal variceal hemorrhage:review and current recommendations [J]. J Clin Gastroenterol,2007, 41 (Suppl 3): S318-S322.
- 7. Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirrhosis [J]. N Engl J Med, 2010, 362(9): 823-832.
- 8. Lo GH. The role of endoscopy in secondary prophylaxis of esophageal varices [J]. Clin Liver Dis, 2010, 14(2): 307-323.
- 9. Maksoud-Filho JG, Gonçalves ME, Cardoso SR, et al. Longterm follow-up of children with extrahepatic portal vein obstruction:impact of an endoscopic sclerotherapy program on bleeding episodes, hepatic function, hypersplenism, and mortality [J]. J Pediatr Surg, 2009, 44(10): 1877-1883.
- 10. 李震, 贾如冰, 汪忠镐, 等. 附脐静脉在门脉高压分流术中的应用 [J]. 中国普外基础与临床杂志, 2010, 17(2): 180-181..
- 11. 吴继东, 汪忠镐, 王仕华, 等. 儿童肝外型门脉高压症的诊治 [J]. 中国现代手术学杂志, 2003, 7(5): 375-377..
- 12. Poddar U, Borkar V. Management of extra hepatic portal venous obstruction (EHPVO): current strategies [J]. Trop Gastroenterol,2011, 32(2): 94-102.
- 13. Mileti E, Rosenthal P. Management of portal hypertension in children [J]. Curr Gastroenterol Rep, 2011, 13(1): 10-16.
- 14. 李震, 汪忠镐, 卞策, 等. 肠房转流通畅前提下并发顽固性腹水的治疗 [J]. 中国普外基础与临床杂志, 2009, 16(7):571-572..
- 15. Li CM, Wang ZG, Gu YQ, et al. Management of complex patients with Budd-Chiari syndrome [J]. Ann Vasc Surg, 2010,24(3): 301-307.
- 16. Subhasis RC, Rajiv C, Kumar SA, et al. Surgical treatment of massive splenomegaly and severe hypersplenism secondary to extrahepatic portal venous obstruction in children [J]. Surg Today,2007, 37(1): 19-23.