本文对50例经脾腔分流术治疗的门脉性及肝炎后性肝硬化所致的门静脉高压症进行了分析讨论。一般认为本手术在此类病例成功率高,吻合口质量好,操作简便。手术后降压优于脾肾静脉分流术而次于门腔分流术,五年绝对生存率达68.8%;但术后肝性脑病的发生率比脾肾分流术为高。本法对肝硬化较轻、肝功能Ⅰ～Ⅱ级患者,仍为一有效之手术方法。 In this paper, 50 cases of portal hypertension caused by portal cirrhosis and hepatic cirrhosis treated by splenocaval shunt were analyzed and discussed. Generally believed that the success rate of such surgery in such cases, anastomotic quality, easy to operate. Postoperative decompression is superior to splenorenal shunt and inferior to portal shunt, the five-year absolute survival rate was 68.8%; however, the incidence of postoperative hepatic encephalopathy was higher than that of splenorenal shunt. The law of liver cirrhosis lighter, liver function Ⅰ ~ Ⅱ patients, is still an effective surgical method.