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find Keyword "门静脉动脉化" 3 results
  • Splenic Portal Arterialization in Treatment of Portal Hypertension

    Objective To study the effect on liver hemodynamics of portal arterialization and complete shunt (PACS), splenorenal shut (SRS) and peripheral cardia divided vessel (PCDV). Methods The preparation of canine model was made. Group PCDV accepted a splenectomy and peripheral cardia divided vessel, while the group SRS accepted a spleen-renal vein shunt. Group PACS accepted a splenectomy, splenic artery and upper portal vein anastomosis, and complete portal-caval shunt. The blood pressure and flow of the portal system were observed. The hepatic function was also measured before and 2 weeks after the three kinds of operation. Results In the PCDV group, the postoperative PVF decreased in 17% while PVP decreased in 5%. In the SRS group, the postoperative PVF decreased in 51% while PVP decreased in 51%. In the PACS group, the postoperative hepatic inflow PVF increased to 180% of the former while PVP increased to 196%; the caval-inflow PVF increased to 130% of the former while PVP decreased to 46%. The results of PACS group had a magnificent statistic difference comparing with those two traditional operations (P<0.05,P<0.01). ALT obviously increased after SRS (P<0.05), whereas slightly changed after the other two. Conclusion PACS can significantly increase the hepatic inflow and decreased the blood pressure of the portal system with a pleasant dog survival, and without obvious influence to the hepatic function. It may be a worthy attempt in the treatment of portal hypertension and need more research work going on.

    Release date:2016-08-28 04:08 Export PDF Favorites Scan
  • 门静脉动脉化在肝门胆管癌根治术中的应用研究进展

    将肝动脉内的血流引入到门静脉系统内,即门静脉动脉化技术,已经在肝门部胆管癌根治术中得到广泛应用,但其应用仍存在争议。现复习近年来国内、外有关门静脉动脉化在治疗肝门部胆管癌的文献并进行综述,从而探讨门静脉动脉化在肝门部胆管癌根治术中使用的利弊,以更好地指导临床工作。

    Release date:2016-09-08 09:12 Export PDF Favorites Scan
  • 门静脉动脉化在肝门部胆管癌根治术中的应用价值

    目的 探讨肝动脉重建加门静脉动脉化在肝门部胆管癌根治性切除术中应用的安全性和有效性。 方法 对笔者所在医院 2016 年 10 月收治的 1 例 Bismuth-Corlette 分型Ⅳ型肝门部中晚期胆管癌患者施行扩大左半肝切除加尾叶切除术并采用肝固有动脉与门静脉吻合行门静脉动脉化的患者进行回顾性分析。 结果 患者术后恢复顺利,肝功能逐渐恢复正常,术后未发生急性肝功能衰竭、吻合口栓塞、胆道感染等并发症,随访截至 2017 年 8 月(术后 10 个月)未发现门静脉高压症及肿瘤复发征象。 结论 该例患者的结果提示,门静脉动脉化在肝门部胆管癌行扩大根治术中使用可防止急性肝功能衰竭,促进术后肝功能恢复,提高肝门部胆管癌的根治性切除率。

    Release date:2018-02-05 01:53 Export PDF Favorites Scan
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