儿童门静脉海绵样变性的研究进展.pdfVIP

圄匪处型堂苤壶垫!!生!旦筮!!鲞筮!翅 !!!!型i塑坐』!!璺坐丛!!翌型里!照巴!翌!Q!!：!尘：塑：№：呈 儿童门静脉海绵样变性的研究进展 张丹陈亚军+ 张廷冲 【摘要】 门静脉海绵样变性约占小儿门静脉高压的40％。与其他引起门静脉高压的病种相比， 该病有发病年龄早、出血危险性高及肝功能大致正常等特点。由于病因相对单一，大多数患儿无合并 其他疾病，因此合理的治疗对该病的预后有决定性意义。目前对于该病的诊疗理念国内外存在较大 差异，国内仍将治疗目的主要集中在控制消化道出血方面，而国外对于该病的治疗则放在术后患儿肝 脏血流灌注的改善、脾功能亢进的缓解、术后生活质量等方面，本文旨在总结近几年国外相关文献，介 绍目前国外对于该病的最新研究成果。 【关键词】 门静脉海绵样变性；Rex术式；肝脏血供；门腔静脉分流术 for Currentresearchofcavernoustransformationof vein portal childrenZHANG Dan，CHEN Yn-jttn+，ZHANGTing．chong．却州m眦矿s。rg。可，^协 InternationalChildren’s Century 100045，China Hospital，Beijing author：CHEN Corresponding Ya-jun，Email：chenyajunmd@yahoo．corn．cn Cavernoustransformationof veinaccountsforabout40％inchildren 【Abstract】 portal portalhyperten· withothercausesof diseasecavernoustransformationof vein sion．Compared portalhypertension portalpres— ents ofdisease riskof andnormalliverfunction．Becausethe is early age onset，hi【gh bleeding pathology andmostchildrenhavenoother areasonabletreatmentofthediseasehasdeci— relativelysimple diseases，SO sive current for andtreatmentofthediseaseisdifferentbetweenhome significance．Theconceptdiagnosis and isthemain inout abroad，Controllinguppergastrointestinalbleeding purposecountry．Relivinghyper- liverblood and oflifearemuch articleaimsto abroad，The splenism，improvingsupplyquality important summarizelatest literaturetointroducelatestresearchforthediseaseabroad． foreign transformationof blood 【Keywords】Cavernous portalvein；Re