摘要
目的:探讨门静脉高压症部分脾动脉栓塞术(partial splenic embolization,PSE)后再出血的治疗.方法:回顾性分析2004-01/2009-10山东省滨州医学院附属滨州市人民医院肝胆外科收治的10例门脉高压患者PSE术后再出血的临床病例资料.结果:门静脉高压PSE后再出血行断流手术治疗,与对照组相比,手术时间及术中出血量均明显增加(4.5h vs3.0h,450mL vs1000mL,均P<0.05),死亡率和并发症率无明显差别.结论:对于肝功能Child-pugh A或B级,有可控性腹水,巨脾,反复上消化道出血的患者,如无其他手术禁忌,断流术是较好的选择.对PSE术后再出血手术的患者,术中应仔细分离脾脏与周围粘连,避免大出血.
AIM：To explore the treatment of upper gastrointestinal rebleeding after partial splenic embolization （PSE） in portal hypertensive patients. METHODS：The clinical data of 10 patients with upper gastrointestinal rebleeding after PSE for portal hypertension,who underwent hepatobiliary surgery at our hospital from January 2004 to October 2009,were retrospectively analyzed. RESULTS：Compared to control subjects,the operation duration and hemorrhage volume were significantly higher in rebleeding patients （4.5 h vs 3.0 h; 450 mL vs 1 000 mL,both P 0.05） though there were no significant differences in the mortality rate rate and complication rate between the two groups. CONCLUSION：For upper gastrointestinal rebleeding patients having Child-pugh class A or B liver function and controllable ascites,devascularization operation is a better choiceif no contraindication exists. Devascularization operation should be carefully conducted to avoid massive hemorrhage.
出处
《世界华人消化杂志》
CAS
北大核心
2010年第15期1605-1607,共3页
World Chinese Journal of Digestology
关键词
门脉高压症
断流术
部分脾动脉栓塞术
Portal hypertension
Devascularization
Partial splenic embolization
作者简介
通泵柞暑：相亭蔫，256600，山东省滨州市，山东省滨州医学院附属滨州市人民医院肝胆外科xiangtinghail26@．com电话：0543—3283293
