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脾大部切除加断流术治疗小儿门静脉高压症(附16例临床分析)
引用本文:赵建勇,李家辉,贾文胜,李瑞平.脾大部切除加断流术治疗小儿门静脉高压症(附16例临床分析)[J].中华消化外科杂志,2006,5(3):185-187.
作者姓名:赵建勇  李家辉  贾文胜  李瑞平
作者单位:1. 550002,贵阳市第一人民医院普外科
2. 523018,东莞市人民医院普外科
摘    要:目的探讨脾大部切除加断流术治疗小儿门静脉高压症的临床疗效。方法对16例确诊为门静脉高压症的患儿行脾大部切除加断流术。随访患儿恢复情况。结果16例患儿手术顺利,恢复良好,无死亡病例。无再发消化道出血、脾功能亢进表现,无脾切除术后凶险感染出现。结论保留脾脏的脾大部切除加断流术是治疗小儿门静脉高压症一种较好的手术方法。

关 键 词:门静脉高压症  脾大部分切除  断流术  小儿
文章编号:1671-4555(2006)03-0185-03
修稿时间:2006年2月17日

Subtotal splenectomy and disconnection for the treatment of portal hypertension in children: report of 16 cases
ZHAO Jian-yong,LI Jia-hui,JIA Wen-sheng,LI Rui-ping.Subtotal splenectomy and disconnection for the treatment of portal hypertension in children: report of 16 cases[J].Chinese Journal of Digestive Surgery,2006,5(3):185-187.
Authors:ZHAO Jian-yong  LI Jia-hui  JIA Wen-sheng  LI Rui-ping
Abstract:Objective To investigate the treatment efficacy of subtotal splenectomy and disconnection portal hypertension in children. Methods 16 children were diagnosised as portal hypertension. Subtotal splenectomy and disconnection were administered in those children. The effect of subtotal splenectomy and disconnection was followed up. Results Neither recurrence of upper gastrointestinal bleeding and hypersplenia nor serious infection took place after operation. Mortality is zero. The postoperative recovery was good. Conclusions The subtotal splenectomy and disconnection is a good treatment for portal hypertension in children.
Keywords:Children  Portal hypertension  Subtotal splenectomy  Disconnection
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