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儿童 Rex 分流术的术前和术后影像学:放射科医生应该知道什么。

Pre- and postoperative imaging of the Rex shunt in children: what radiologists should know.

机构信息

Department of Radiology, The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, 19104, USA.

出版信息

AJR Am J Roentgenol. 2012 May;198(5):1032-7. doi: 10.2214/AJR.11.7963.

DOI:10.2214/AJR.11.7963
PMID:22528892
Abstract

OBJECTIVE

The objective of this article is to illustrate the imaging features of patients with extrahepatic portal venous obstruction who are evaluated before or after a Rex shunt surgery.

CONCLUSION

The Rex shunt is a potentially curative surgical procedure that reestablishes physiologic hepatopetal portal flow. It is typically accomplished by interposing a vascular conduit between the superior mesenteric vein to the still patent intrahepatic portal venous system. This procedure results in resolution of portal hypertension.

摘要

目的

本文旨在阐述经 Rex 分流术前、后评估的肝外门静脉阻塞患者的影像学特征。

结论

Rex 分流术是一种有潜在治愈可能的手术,可重建生理性向肝门静脉血流。该手术通常通过在肠系膜上静脉与仍通畅的肝内门静脉系统之间置入血管导管来完成。该手术可导致门静脉高压症得到缓解。

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BMC Surg. 2023 Sep 13;23(1):276. doi: 10.1186/s12893-023-02168-3.
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Technical Aspects and Considerations of Meso-Rex Bypass Following Liver Transplantation With Left Lateral Segment Grafts: Case Report and Review of the Literature.肝移植采用左外叶 grafts 后中 Rex 旁路的技术要点及注意事项:病例报告与文献复习
Front Pediatr. 2022 Apr 25;10:868582. doi: 10.3389/fped.2022.868582. eCollection 2022.
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Value of preoperative computed tomography for meso-Rex bypass in children with extrahepatic portal vein obstruction.
术前计算机断层扫描在肝外门静脉阻塞患儿中瑞克斯分流术的价值
Insights Imaging. 2021 Jul 27;12(1):109. doi: 10.1186/s13244-021-01057-8.