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我国门静脉高压症外科治疗的现况和展望

杨镇

杨镇. 我国门静脉高压症外科治疗的现况和展望[J]. 临床肝胆病杂志, 2016, 32(2): 250-253. DOI: 10.3969/j.issn.1001-5256.2016.02.010
引用本文: 杨镇. 我国门静脉高压症外科治疗的现况和展望[J]. 临床肝胆病杂志, 2016, 32(2): 250-253. DOI: 10.3969/j.issn.1001-5256.2016.02.010
Yang Zhen. Current status and perspectives of surgical treatment of portal hypertension[J]. J Clin Hepatol, 2016, 32(2): 250-253. DOI: 10.3969/j.issn.1001-5256.2016.02.010
Citation: Yang Zhen. Current status and perspectives of surgical treatment of portal hypertension[J]. J Clin Hepatol, 2016, 32(2): 250-253. DOI: 10.3969/j.issn.1001-5256.2016.02.010

我国门静脉高压症外科治疗的现况和展望

DOI: 10.3969/j.issn.1001-5256.2016.02.010
详细信息
  • 中图分类号: R657.34

Current status and perspectives of surgical treatment of portal hypertension

  • 摘要: 门静脉高压症外科曾引领现代外科的发展。然而,在过去的1020年里,筛查和控制食管胃曲张静脉破裂出血的药物、曲张静脉套扎和经颈静脉肝内门体分流术等非手术疗法获得广泛应用。手术治疗只适用于内镜疗法无效、肝功能Child-Pugh A级的患者。目前公认可取的3种手术是远端脾肾分流术、广泛的贲门周围离断术加脾切除术和二阶段经胸腹联合断流术。由于在中国供肝短缺,因此肝移植难以普及。腹腔镜脾切除以及腹腔镜脾切除联合贲门周围血管离断术对肝硬化门静脉高压症患者乃是重大挑战。认为外科治疗门静脉高压症应与非手术疗法合作,从而对肝硬化和非肝硬化门静脉高压症患者采取个体化治疗方案。

     

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  • 收稿日期:  2015-10-08
  • 出版日期:  2016-02-20
  • 刊出日期:  2016-02-20
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