Pikovskiĭ D L, Beburishvili A G, Alekseev B V
Vestn Khir Im I I Grek. 1980 Oct;125(10):22-7.
The work analyzes the data of treatment of 144 patients with the cirrhotic process in the liver. The patients were subjected to 196 different operations. Surgical interventions were fulfilled depending on the stage of cirrhosis, chronic hepatitis--precirrhosis included. To diagnoze and determine the stage of the cirrhotic process the authors used a complex of investigations including the summary assessment of the liver function by the formula developed in the clinic, radioisotopic diagnosis, laparoscopy with target puncture biopsy, splenoportography, lymphography. The cirrhosis stage and the degree of hepatic insufficiency determined the choice of periarterial hepatic neurectomy. Marginal resection of the liver was performed in chronic hepatitis and the initial stage of cirrhosis.
该研究分析了144例肝脏出现肝硬化病变患者的治疗数据。这些患者接受了196种不同的手术。手术干预根据肝硬化阶段、慢性肝炎（包括肝硬化前期）来进行。为了诊断和确定肝硬化进程的阶段，作者采用了一系列检查，包括运用临床制定的公式对肝功能进行综合评估、放射性同位素诊断、腹腔镜检查及靶向穿刺活检、脾门静脉造影、淋巴管造影。肝硬化阶段和肝功能不全程度决定了肝动脉周围神经切除术的选择。对于慢性肝炎和肝硬化初期患者进行了肝边缘切除术。
