[门静脉血栓形成继发食管静脉曲张出血的外科治疗]

[Surgical treatment of hemorrhage of esophageal varices secondary to thrombosis of the portal vein].

作者信息

Orozco-Zepeda H, Takahashi T, Angel Mercado M, García-Tsao G, Hernández-Ortiz J

机构信息

División de Cirguia, Cliníca de Hipertensión Portal, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.

出版信息

Rev Gastroenterol Mex. 1990 Oct-Dec;55(4):215-9.

PMID:2091189

Abstract

The Sugiura Procedure (SP) was performed in 27 patients with hemorrhagic portal hypertension secondary to extrahepatic portal vein thrombosis without associated liver disease (EPVT). There were fourteen females and 13 males. Mean age was 28 +/- 14 years. The causes of EPVT were: protein C deficiency-2 cases, antithrombin III deficiency-1 case, omphalitis history-2 cases, pancreatitis history-1 case and idiopathic-21 cases. The SP was completed with two surgical stages in 14 patients and with one operation in nine. There was one operative death. One patient developed mild postoperative encephalopathy, and two patients re-bled at long-term. Actuarial survival was 82% at five and ten years. It is concluded that the SP is a good alternative for the management of hemorrhagic portal hypertension secondary to EPVT.

摘要

对27例继发于肝外门静脉血栓形成且无相关肝脏疾病（肝外门静脉血栓形成，EPVT）的出血性门静脉高压患者实施了杉浦手术（SP）。其中女性14例，男性13例。平均年龄为28±14岁。EPVT的病因包括：蛋白C缺乏2例、抗凝血酶III缺乏1例、有脐炎病史2例、有胰腺炎病史1例以及特发性21例。14例患者分两个手术阶段完成SP，9例患者通过一次手术完成。有1例手术死亡。1例患者术后出现轻度脑病，2例患者远期再次出血。5年和10年的精算生存率分别为82%。结论是，SP是治疗继发于EPVT的出血性门静脉高压的一种良好替代方法。