自发性门静脉分流在脾切除断流术中的矛盾作用及其处理策略。

Q3 Medicine
Y Bu, M G Tian
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引用次数: 0

摘要

自发性门脉系统分流(SPSS)是肝硬化门脉高压进展中的一个重要病理特征,是机体降低门脉高压的代偿机制。最近的研究结果表明,SPSS是肝硬化向失代偿期发展的重要环节,也是脾切除术合并断流术后肝性脑病的主要原因。因此,在脾切除术合并断流术时,有必要根据其位置和分流体积,决定切断、限制流量或保留远端作为选择性分流通道的治疗措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Paradoxical roles of spontaneous portosystemic shunts and their management strategy in splenectomy with devascularization].

Spontaneous portosystemic shunt (SPSS) is an important pathological feature in the progression of cirrhotic portal hypertension and acts as the body's compensatory mechanism for reducing portal hypertension. Recent research results show that SPSS is an important link in the development of cirrhosis into the decompensated stage and is also the main cause of hepatic encephalopathy after splenectomy combined with devascularization. Therefore, during splenectomy combined with devascularization, it is necessary to decide on treatment measures such as disconnection, flow limitation, or retention of the distal side as a selective shunt channel according to its location and shunt volume.

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来源期刊
中华肝脏病杂志
中华肝脏病杂志 Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
7574
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