中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2012年
z1期
21-23
,共3页
杨军%蒋巍%曾德刚%王维%黄成凤%王达莉
楊軍%蔣巍%曾德剛%王維%黃成鳳%王達莉
양군%장외%증덕강%왕유%황성봉%왕체리
经颈内静脉肝内门体分流术%部分脾栓塞术%腹腔镜脾切除术%血吸虫病肝硬化%脾功能亢进
經頸內靜脈肝內門體分流術%部分脾栓塞術%腹腔鏡脾切除術%血吸蟲病肝硬化%脾功能亢進
경경내정맥간내문체분류술%부분비전새술%복강경비절제술%혈흡충병간경화%비공능항진
Of internal jugular vein liver inside door body shunt art%Part of the splenic embolization%Laparoscopic resection of the spleen%Schistosomiasis cirrhosis%The splenic function hyperthyroidism
目的 探讨经颈内静脉肝内门体分流术(Transjugularintrahepatie portosystemic shunt,TIPS)和部分脾栓塞术(PaniM splenicembolization,PSE)后腹腔镜脾切除术联合治疗血吸虫病肝硬化合并脾功能亢进的疗效.方法 52例均为血吸虫病肝硬化合并脾功能亢进患者,行TIPS术后一周再行PSE术.术后监测肝功能及血象变化,两周左右行手助式腹腔镜脾切除.结果 52例患者行TIPS和PSE术治疗后,血象及肝功能恢复正常,于两周左右行手助式腹腔镜脾切除术,其中5例中转开腹手术,患者均治愈出院.与以往同类患者相比住院天数缩短,住院费用下降,且并发症少,患者痛苦小.结论 TIPS和PSE术联合腹腔镜脾切除治疗血吸虫病肝硬化合并脾功能亢进,不仅疗效确切,而且安全、微创,具有良好的临床应用价值.
目的 探討經頸內靜脈肝內門體分流術(Transjugularintrahepatie portosystemic shunt,TIPS)和部分脾栓塞術(PaniM splenicembolization,PSE)後腹腔鏡脾切除術聯閤治療血吸蟲病肝硬化閤併脾功能亢進的療效.方法 52例均為血吸蟲病肝硬化閤併脾功能亢進患者,行TIPS術後一週再行PSE術.術後鑑測肝功能及血象變化,兩週左右行手助式腹腔鏡脾切除.結果 52例患者行TIPS和PSE術治療後,血象及肝功能恢複正常,于兩週左右行手助式腹腔鏡脾切除術,其中5例中轉開腹手術,患者均治愈齣院.與以往同類患者相比住院天數縮短,住院費用下降,且併髮癥少,患者痛苦小.結論 TIPS和PSE術聯閤腹腔鏡脾切除治療血吸蟲病肝硬化閤併脾功能亢進,不僅療效確切,而且安全、微創,具有良好的臨床應用價值.
목적 탐토경경내정맥간내문체분류술(Transjugularintrahepatie portosystemic shunt,TIPS)화부분비전새술(PaniM splenicembolization,PSE)후복강경비절제술연합치료혈흡충병간경화합병비공능항진적료효.방법 52례균위혈흡충병간경화합병비공능항진환자,행TIPS술후일주재행PSE술.술후감측간공능급혈상변화,량주좌우행수조식복강경비절제.결과 52례환자행TIPS화PSE술치료후,혈상급간공능회복정상,우량주좌우행수조식복강경비절제술,기중5례중전개복수술,환자균치유출원.여이왕동류환자상비주원천수축단,주원비용하강,차병발증소,환자통고소.결론 TIPS화PSE술연합복강경비절제치료혈흡충병간경화합병비공능항진,불부료효학절,이차안전、미창,구유량호적림상응용개치.
Objective To explore the internal jugular vein liver inside door body bypass surgery (Transjugularintrahepatie portosystemic shunt,TIPS) and part of the spleen embolization (PaniM splenicembolization,PSE) after laparoscopic resection combined with spleen schistosomiasis compounds with cirrhosis of the liver function of spleen hyperthyroidism curative effect.Methods Fifty-two cases had schistosomiasis hepatocirrhosis with spleen function in patients with hyperthyroidism,doing any operation after a week PSE TIPS.Postoperative liver function and adopted to monitor changes,two weeks left hand done help type laparoscopic splenectomy.Results Fifty-two patients underwent TIPS and PSE after surgical treatment,blood picture and liver function back to normal,in two weeks or so do help laparoscopic resection of the hand of the spleen,five cases were transfered to open surgery,patients were cured and discharged.And the previous similar average hospitalization days compared with patients who shorten,average hospital expenses dropped,and less complications,little pain.Conclusion TIPS and PSE joint laparoscopic splenectomy are schistosomiasis compounds with cirrhosis of the liver function of spleen hyperthyroidism,definite effect not only,and safety,minimally invasive,has a good value of clinical application.
