脾切除联合贲门周围血管离断术治疗晚期血吸虫病门静脉海绵样变
[Splenectomy and esophagogastric devascularization for advanced schistosomiasis with cavernous transformation of portal vein].
作者信息
Luo Feng-Qiu, Liu Jia-Xin, Pan Ge, Wang Peng, Ding Guo-Jian, Deng Wei-Cheng
机构信息
Xiangyue Hospital Affiliated to Hunan Institute of Parasitic Diseases, National Clinical Center for Schistosomiasis Treatment, Hunan Province, Yueyang 414000, China.
Xiangyue Hospital Affiliated to Hunan Institute of Parasitic Diseases, National Clinical Center for Schistosomiasis Treatment, Hunan Province, Yueyang 414000, China
出版信息
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2013 Dec;25(6):649-51.
OBJECTIVE
To explore a surgical treatment of advanced schistosomiasis with cavernous transformation of the portal vein.
METHOD
The clinical data of 18 patients who suffered from advanced schistosomiasis with cavernous transformation of the portal vein were collected and analyzed retrospectively in the Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases.
RESULTS
Two cases were undertaken the endoscopic variceal ligation, and the upper gastrointestinal bleeding happened 32 months and 40 months after the treatment respectively, and they received the splenectomy and esophagogastric devascularization again; 16 cases were undertaken the splenectomy and esophagogastric devascularization. During the follow-up of 6-72 months, no esophageal and gastric varices were found.
CONCLUSION
Splenectomy and esophagogastric devascularization is effective in the treatment of advanced schistosomiasis with cavernous transformation of the portal vein.
目的
探讨门静脉海绵样变的晚期血吸虫病的外科治疗方法。
方法
回顾性收集并分析湖南省寄生虫病防治研究所附属湘岳医院收治的18例门静脉海绵样变的晚期血吸虫病患者的临床资料。
结果
2例行内镜下曲张静脉套扎术，术后分别于32个月和40个月发生上消化道出血，再次行脾切除术及贲门周围血管离断术；16例行脾切除术及贲门周围血管离断术。随访6～72个月，未见食管胃静脉曲张复发。
结论
脾切除术及贲门周围血管离断术治疗门静脉海绵样变的晚期血吸虫病疗效确切。
Zotero 插件