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作者联合应用门奇断流术、脾肺固定术和脾动脉结扎术,治疗肝炎后肝硬变门静脉高压症食管胃底静脉曲线,取得较好的结果。本文分析了联合手术前后PVF、SVF、PVP的改变和门奇、脾肺侧枝循环形成状况,提示了:(1)脾动脉结扎后PVF、SVF有所减少,PVP可下降,但门奇断流术后PVP回升维持了门静脉高压状态且又减除了脾胃区高压。(2)术后不同时相的PVF、SVF和脾门造影术表明在术后1至2月可建立一个通畅的组织实质的分流。可以认为这一手术是分流、断流和减流的联合术式。也可以认为是一个引流脾胃区的区域性分流术。
The authors combined Menci disconnection, splenofection and splenic artery ligation in the treatment of posthepatitic cirrhosis portal hypertension gastroesophageal varices, and achieved good results. This paper analyzed the changes of PVF, SVF and PVP before and after combined surgery and the formation of portal ventricle and collateral circulation in spleen, suggesting that: (1) PVF and SVF decreased after ligation of the splenic artery and PVP decreased, PVP recovery after surgery to maintain the state of portal hypertension and again to remove the high pressure in the spleen and stomach. (2) PVF, SVF and splenectomy at different phases after surgery showed that a patency of tissue parenchyma could be established from January to February after operation. Can think of this surgery is shunt, cut off and reduce the joint surgery. Can also be considered as a drainage of the regional splenic regional shunt.