Xue H Z, Lu Z X, Jiang Q F
Henan Provincial People's Hospital, Zhengzhou.
Zhonghua Wai Ke Za Zhi. 1994 Jul;32(7):398-9.
In this study, 11 cases of serious encephalopathy following splenorenal or splenocaval shunt were treated by anastomotic coarctation, in 4 of the 11 cases, portoazygos disconnection was added. All symptoms and signs disappeared soon after the procedure. The portal hepatopetal blood flow increased. Liver function improved. Blood ammonia concentration decreased. Follow-up of 6 to 48 months found, no recurrent encephalopathy or variceal bleeding. Anastomotic coarctation is effective method to treat serious post-splenosystemic shunt encephalopathy.
在本研究中，对11例脾肾分流或脾腔分流术后出现严重脑病的患者采用吻合口缩窄术进行治疗，其中11例中有4例加做了门奇静脉断流术。术后所有症状和体征很快消失。门静脉向肝血流增加。肝功能改善。血氨浓度下降。随访6至48个月发现，无复发性脑病或静脉曲张出血。吻合口缩窄术是治疗严重脾-体循环分流术后脑病的有效方法。
