Puttini M, Marni A, Montes F, Belli L
Am Surg. 1979 Jul;45(7):444-8.
The effect of portasystemic shunts on hypersplenism has been evaluated in 129 patients who were operated upon. Correction of hypersplenism was obtained in 79 per cent of patients with shunting procedures without splenectomy and 90 per cent of those with splenectomy. The improvement was significant and lasting. These results confirm the beneficial effect of splenic decompression on hypersplenism after simple portasystemic shunt. On the basis of these data, we feel that a difficult splenectomy can also be avoided in patients who have cirrhosis with striking hypersplenism.
对129例接受手术的患者评估了门体分流术对脾功能亢进的影响。在未行脾切除术的分流手术患者中，79%的患者脾功能亢进得到纠正；在接受脾切除术的患者中，这一比例为90%。改善显著且持久。这些结果证实了单纯门体分流术后脾减压对脾功能亢进的有益作用。基于这些数据，我们认为对于肝硬化伴明显脾功能亢进的患者，也可避免进行困难的脾切除术。
