CAJ | 학술논문

目的探讨脾静脉-左肾上腺静脉分流术治疗青少年门静脉海绵样变相关的肝前型门静脉高压症.方法自2004年6月至2012年2月采用脾静脉-左肾上腺静脉吻合的分流方法治疗门静脉海绵样变相关的肝前型门静脉高压症患者9例,总结该术式的疗效.结果 9例患者均顺利完成手术.无手术死亡,无消化道出血,无肝性脑病发生.患者术后1周出院.结论门静脉海绵样变相关的肝前型门静脉高压症青少年患者左肾上腺静脉常常增粗,选择脾静脉-左肾上腺静脉分流术是合理、简单的手术方式.
목적 탐토비정맥-좌신상선정맥분류술치료청소년문정맥해면양변상관적간전형문정맥고압증.방법 자2004년6월지2012년2월채용비정맥-좌신상선정맥문합적분류방법치료문정맥해면양변상관적간전형문정맥고압증환자9례,총결해술식적료효.결과 9례환자균순리완성수술.무수술사망,무소화도출혈,무간성뇌병발생.환자술후1주출원.결론 문정맥해면양변상관적간전형문정맥고압증청소년환자좌신상선정맥상상증조,선택비정맥-좌신상선정맥분류술시합리、간단적수술방식.
Objective To evaluate the impact of splenic vein-left adrenal vein shunting on prehepatic portal hypertension caused by cavernous transformation of portal vein in young patients.Methods From June 2004 to February 2012,9 patients with prehepatic portal hypertension due to cavernous transformation of portal vein received splenic vein-left adrenal venous shunting.The clinical data were reviewed.Results The procedure was uneventful in all the patients.There was no mortality,recurrent hemorrhage or hepatic encephalopathy on follow-up.The patients were discharged home on the 7th postoperative day.Conclusions In young patients with prehepatic portal hypertension secondary to cavernous transformation of portal vein,the left adrenal vein was often found to be large.Spleno-adrenal shunting,utilizing the left adrenal vein as a conduit,represents an excellent option in selected cases.