Novick A C, Banowsky L H, Stewart B H, Straffon R A
Trans Am Assoc Genitourin Surg. 1977;69:139-45.
A retrospective study is presented of our experience from 1962 to 1976 with the splenorenal bypass procedure in the treatment of 32 patients with renovascular hypertension. The over-all results were 53 per cent of the patients cured, 28 per cent improved and 19 per cent failures. Improved results were noted when the splenorenal bypass was performed in relation to specific operative indications. The results were somewhat better in men than in women and poor results were obtained in children. Intraoperative and early postoperative complications were minimal. There were 2 postoperative deaths, for a hospital mortality rate of 6.3 per cent. Late complications were limited to splenic artery graft stenoses, which developed in 3 patients (9.4 per cent). When performed in relation to specific clinical and operative indications the splenorenal bypass is believed to represent an excellent means to achieve safe and effective renal revascularization.
本文回顾性研究了我们在1962年至1976年间采用脾肾分流术治疗32例肾血管性高血压患者的经验。总体结果是，53%的患者治愈，28%的患者病情改善，19%的患者治疗失败。当根据特定的手术指征进行脾肾分流术时，效果有所改善。男性的治疗效果略优于女性，儿童的治疗效果较差。术中及术后早期并发症极少。术后有2例死亡，医院死亡率为6.3%。晚期并发症仅限于脾动脉移植血管狭窄，3例患者（9.4%）出现这种情况。当根据特定的临床和手术指征进行脾肾分流术时，它被认为是实现安全有效的肾血管重建的一种极佳方法。
